Customers ordering assessments must have a qualification form on file with Pearson Assessments. If you have not done so previously, please verify your qualification level for this and future purchases by filling out and sending this qualification form.

The qualification form takes 48 hours to process. Upon completion, a catalog will be sent to you. If you need to place an order prior to the 48-hour processing time, please call (415) 597-4600 to place your qualifications over the phone.

Please provide us with your contact information.
First Name
*
Last Name
*
Title
Organization
Div./Dept.
Email
*
Telephone
*
Fax
Address 1
*
Address 2
City
*
State
*
Zip
*
Country
*
Please create a User Name and a Password
Admin User Name:
*
Admin Password: *
Confirm Password: *

1. Primary Work Setting:
(choose all that apply)

2. What are your testing applications? (choose all that apply)
Group/Solo Practice
College/University
Voc Rehab
Jr. High/High School
Corporation
Non-Profit
Other (specify)
Vocational Rehab
Employee Assistance
Adult Counseling
Adolescent Counseling
Unknown

3. Any valid license or certificate issued by a state regulatory board: (If Applicable)
Certificate/License  State
Cert. or Licens. Agency
Number Expiration Date

4. Highest professional degree attained:
Degree  Major Field
Year  Institution

5. Course work completed in Tests and Measurement:
Date Course
Institution
Graduate Undergraduate


TERMS OF USE
  • I am qualified to properly use the Campbell Interest and Skill Survey and the Keirsey Temperament Sorter II, and I have provided AdvisorTeam.com Inc. with only accurate and true qualification information.
  • I have read and will abide by the Pearson Assessments' Terms and Conditions and Qualification Criteria web pages necessary to administer the CISS.
  • I have read and will abide by the AdvisorTeam.com's Terms and Conditions necessary to administer the KTS-II.
  • Any test products purchased under my account will be used by me and/or under my supervision.
  • Any test products purchased under my account will be used in accordance with all applicable legal and ethical guidelines. APA Ethics Code
I Accept        I Decline

Electronic Signature
The Terms of Use will not be "signed" in the sense of a traditional paper document. To verify the contents of the application, The signatory will sign and date the application by affixing the "electronic signature," consisting of an arbitrary alpha-numeric combination placed between two forward slash symbols (e.g., /john smith/).

Signature *
(e.g.,/john smith/)
Title *

 


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