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Title:
DR
MR
MRS
MS
PAST
REV
First Name:
Last Name:
Home Address #1:
Home Address #2:
Suite:
City:
Province:
Country:
Occupation:
Employer:
Bus. Address #1:
Bus. Address #2:
Suite:
City:
Province:
Country:
Education Summary
Which describes your hightest level of education?
Please list ALL degrees obtained, Bachelors, Masters, Doctorate, etc.
College/Seminary/University City/State Major/Degree/Year Received
If Diploma, year received
Length of Study
Major Field
Minor Field
Please check each course or workshop you have completed:
Indicate your area(s) of expertise:
Have you had specialized training in marriage, family, or pastoral Counseling?
If yes, Year
Place of Training
Course/Seminar
Have you participated in a Qualifying Training Seminar or Workshop for PPI test materials?
If yes, Year
Place of Training
Name of Instructor
If no, would you be interested in attending a training seminar?
Professional Licenses or Certifications:
Professional Organization to which you belong:
List name of Assessment(s) you are applying to use:
Summary of intended test material usage:
Enter your E-mail address and we will inform you of your application status by E-mail.
I certify that I have read and understand the Elements of Sound Testing Practice. I understand the elements of testing essential to the appropriate use of standardized tests and I have personal knowledge of professional testing standards, including APA-AERO-NCME Standards for Educational and Psychological Testing, and I agree to follow those standards. I further warrant to PPI that I possess the appropriate training and competencies to use the testing materials and services I seek to purchase and/or license. I agree that my use of such materials will adhere to applicable local and national laws and regulations, and the ethical principles of my profession. I assume full responsibility for the proper use of the testing materials I order from PPI. I agree that the TJTA and MBTI tools are licensed and not sold to me, and I agree not to resell, sublicense, export, redistribute, or otherwise transfer for use by any other person or entity any copy of the instrument. I also certify that I have read and agree to the express terms and conditions of the PPI Copyright and Use Agreement
I agree with the above statement
