Test Examiner Registration

* Denotes required field

Contact Information


















What is the highest degree you have attained?*






What best describes your current employment status?*




Which of the following describes your professional training? (Check all that apply)























Certification Information


OR

What ages (in years) are you able to test? (Check all that apply)







Do you have access to individuals with any of the following special needs to exceptionalities? (Check all that apply)


















The percentage of individuals you evaluate who are:

  
  
  
  
  

Regardless of race, what percentage of the clients you evaluate are of Hispanic origin?

  

How did you hear about PRO-ED field testing?








Acknowledgement*

Please enter your name as you would like it to appear on the acknowledgement page of the test manual



All applicants are required to submit a current vita in pdf format only. Click the Browse button to select a file to upload.