Questions about field testing or this website? Send an email to testsites@proedinc.com.
Field Examiner Registration
First Name*
Last Name*
E-Mail Address*
Password*
Confirm Password*
Position or Title
Agency or Affiliation
Mailing Address (no PO Box)*
Address Line 2
City*
State*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Louisiana
Maine
Maryland
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New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C
West Virginia
Wisconsin
Wyoming
Zip Code*
Home Phone*
Work Phone*
ASHA License Number
State License Number
State Licensed In
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C
West Virginia
Wisconsin
Wyoming
What is the highest degree you have attained?*
Associate
Doctoral
Bachelor's
Specialist Degree (i.e., Ed.S., SSP, or Psy.S.)
Master's
Other
What best describes your current employment status?*
Full time
Part time
Student/Undergraduate
Student/Graduate School
Which of the following describes your professional training?
ABA/Autism Specialist
Audiologist
Clinical/Counseling Psychology
Developmental Psychology
Early Intervention Specialist
Educational Diagnostician
Educational Psychology
Gifted/Talented
Neuropsychology
Occupational Therapist
Physical Education - Adapted
Physical Education - General
Physical Therapist
Preschool/Early Childhood Education
Psychiatrist
Reading Specialist
Regular Education
School Counselor
School Psychology
Social Work
Special Education
Speech Language Pathologist
What ages (in years) are you able to test? Check all that apply.
Early Childhood (0-3)
School Age (4-18)
College Age (18-22)
Young Adult Age (18-30)
Middle Age (31-65)
Senior Adults (65+)
Do you have access to individuals with any of the following special needs or exceptionalities? Check all that apply.
ADHD
Asperger Syndrome
Autism Spectrum
Behavioral Disorder
Deaf or Hard of Hearing
Developmental Delay
Dyslexia
English Language Learners/Non-English Speakers
Emotional Disturbance
Intellectual Disability
Learning Disability: Math
Learning Disability: Reading
Learning Disability: Writing
Learning Disability: Other
Orthopedic Impairments
Speech/Language Impairment
Visual Impairment
The percentage of individuals you evaluate who are:
% African American/Black
% Asian/Pacific Islander
% White
% Native American/Eskimo/Aleut
% Two or More
Regardless of race, what percentage of the clients you evaluate are of Hispanic origin?
% Hispanic Origin
How did you hear about PRO-ED field testing?
PRO-ED web store
Conference
Social Media
Mailing
Email
Catalog
Word of mouth
Other
Acknowledgement:
Please enter your name as you would like it to appear on the acknowledgement page of the test manual.
First Name*
Middle Initial*
Last Name*
All applicants are required to submit a current vita in pdf format only. Click the Browse button to select a file to upload.*
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