Qualification Form


 
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Certain tests (see below) distributed by ADD WareHouse are restricted to qualified purchasers in accordance with the ethical and professional standards of the American Psychological Association and the Standards for Educational and Psychological Testing. Purchasers must establish a qualification level with ADD WareHouse. Qualification forms submitted by 4 PM will be processed that business day and notificiation will be sent by email. Forms submitted after 4 PM will be processed the next business day.

You can complete the Online Qualification Form below and send it with your first order or fax a downloaded form to (954) 792-8545. Download a Qualification Form


Online Qualification Form
Please fill out the following information to complete an Online Qualification Form. If you are a student seeking a qualification , download the print version of the qualification form and submit it with your Professor's signature.
Name
E-Mail (required)
Address
Address
City
State
Zip
Country
What is your profession?
License/Certification #/Certificate Body
Phone
Fax
Are you credentialed by (not a trainee of) the National Register of Health Care Providers in Psychology? Yes
No
If yes, please provide your Registration Number
What professional associations are you a member of?
What is the highest degree you attained?
At what institution did you attain this degree?
Check if you have completed any of the following courses as an undergraduate student or graduate student. If course was not taken in either setting or in advanced training, please indicate.
Objective Personality Testing
Undergraduate
Graduate
Not Taken
Tests and Measurements
Undergraduate
Graduate
Not Taken
Psychometrics and Measurement
Undergraduate
Graduate
Not Taken
Vocational Assessment
Undergraduate
Graduate
Not Taken
Abnormal Psychology or Psychophathology
Undergraduate
Graduate
Not Taken
Personality
Undergraduate
Graduate
Not Taken
I certify thatI have a general knowlege of measurement principals and of the limitations of test interpretation as called for in the qualified to use Standards for Educational and Psychological Tests. I also certify that I/we will interpret the results of the test materials being purchased as recom- mended in the Standards. Purchasers must agree to comply with the following basic principles of minimum test security: test takers must not receive test answers before beginning test; test users must adhere strictly to copyright law and under no circumstance photocopy, translate, alter, distribute, publish, or other wise reporduce answer forms, test booklets or manuals; access to test materials must be limited to qualified persons who agree to safeguard their use.
I attest that the information provided above is correct.
Yes
No

Please make sure you have put in your Email address above before you submit this form.
End of Form

Explanation of Qualification Levels for Test Products

Qualification Level: B
Purchasers of B-level tests must have completed graduate level courses in tests/measurement or have received equivalent documented training.

Materials distributed by the ADD WareHouse that require B-level qualification are:
Conners’ Rating Scales (including Conners’ Global Index)
Conners’ CAARS Adult ADHD Rating Scales
Conners’ Continuous Performance Test II
Conners’ Kiddie Continuous Performance Test
Integrated Visual and Auditory Continuous Performance Test
Tests of Variables of Attention
Gordon Diagnostic System
Brown Attention-Deficit Disorder Scales
BASC Monitor Rating Scales

Qualification Level: C
Purchasers of C-level tests must meet B-level qualifications and must have training and/or experience in the use of tests and have completed an advanced degree in an appropriate profession (e.g., psychology, psychiatry). Additionally, depending on state requirements, membership in a relevant professional organization (e.g., APA), or a state license/certificate in psychology or psychiatry may be necessary. Test-specific qualification criteria may also apply.

Materials distributed by the ADD WareHouse that require C-level qualification are:
BASC Monitor Software

Email:websales@addwarehouse.com
A.D.D. WareHouse
300 Northwest 70th Avenue, Suite 102 Plantation, FL 33317
Toll Free 800-233-9273 Phone 954-792-8100 Fax 954-792-8545
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