Test User Qualifications Form

In accordance with long-standing guidelines developed by the American Psychological Association, some assessments require certain levels of training, experience, and/or education before they can be purchased and administered. The intent is to ensure responsible use and accurate interpretation.

Please complete the following form and submit by clicking the Submit button at the end of the form, or use your browser to print this page, and send it to the Qualifications Department. The form must be submitted before placing an order or registering for an online testing account. We will review your application and determine your test user qualification level.

In the meantime if you have any questions, please contact us.

Thank you and we will contact you within 3-5 business days.

1. Qualified User

Contact Name:
Title:
Company:
Complete Address:	Street: City: Province/State: Country: Postal/Zip Code:
Email:
Phone:
Fax:

2. Education & Experience

Degree:	Yes:	No:	Year Completed:	Institution:	Major:
Bachelors:
Masters:
Doctorate:
Other:

List any relevant course work completed in Assessments and Measurement, as well as any relevant experience.

Course, Unit, Institution:

3. Professional Licenses and Memberships

Organization, License or Memberships:

4. Purpose

Which assessment(s) would you like to use?

Briefly describe your testing needs:

5. Supervision

	I am a graduate student. My professor has endorsed my order below.
	I confirm that the individual listed below is qualified and is willing to supervise the use of the assessments purchased.

Supervisor's Name
Department
Institution
Date

6. Confirmation

By checking the box below, I agree that:

I am qualified to properly use the SIGMA assessments I order, and I have provided SIGMA with thorough and accurate information.
Any SIGMA assessments purchased under my account will be used by me or under my direct supervision.
Any SIGMA assessments purchased under my account will be used according to all applicable ethical and legal guidelines.
I have read and hereby apply SIGMA terms and conditions to all orders on my account and will abide by the SIGMA Terms and Conditions.

I agree