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QUALIFICATIONS and REGISTRATION FORM

1. QUALIFICATIONS

The instruments distributed by Vocational Psychology Research are available only to persons qualified by training and experience to use these instruments in accordance with the American Psychological Association's ethical standards for test use and interpretation.

The MJDQ, MSQ, and MSS may be used only by persons who have, as a minimum, satisfactorily completed a course in the interpretation of psychological tests and measurement at an accredited college or university, or the equivalent qualifications.

Use of the MIQ is restricted to persons who have both (1) an advanced degree in an appropriate profession, or membership in an appropriate professional association, or state licensure, or national or state certification; and (2) satisfactorily completed a course in the interpretation of psychological tests and measurement at an accredited college or university, or the equivalent qualifications.

Graduate students must include a description of their proposed research with this registration form.

 2. INSTRUCTIONS

If you are a graduate or undergraduate student, or do not meet the above qualifications:

  • Complete Section 3, and
  • Have your adviser or supervisor complete Sections 4, 5, and 6.

If you are a qualified professional:

  • Complete Sections 4, 5, and 6.

Return this form with your initial order.

 3. STUDENTS AND OTHERS WITHOUT PROPER QUALIFICATIONS

Name____________________________________________________________________
Department/Institution_______________________________________________________

Phone Number

Email Address_____________________________________

Your level of training:
____Bachelor's Degree: Field_____________ Institution_____________ Year___________
____Master's Degree: Field _____________ Institution _____________ Year___________
____Doctorate: Field_____________ Institution _____________ Year___________

Additional experience:
____In-service training
____Supervised experience
____Continuing education
____Reading test manuals

4. PROFESSIONAL QUALIFICATIONS

Your level of training:
____Bachelor's Degree: Field_____________ Institution _____________ Year___________
____Master's Degree: Field_____________ Institution _____________ Year___________
____Doctorate: Field _____________ Institution _____________ Year___________

Additional experience:
____In-service training
____Supervised experience
____Continuing education
____Reading test manuals

Your professional credentials:

____Licensure: Area________________________ State______ License Number___________
____Professional organization memberships________________________________________
____Formally recognized professional competence: ____Fellow ____Diplomate ____Other_____
Organization_____________________________________________________

Your educational background: (mark all applicable levels of training)
Undergraduate Graduate Other Training
Psychometrics and Measurement Theory
Psychological Test Interpretation
Descriptive Statistics
Objective Personality Testing
Career Interest Testing
Personality

____Practicum in test administration and interpretation
____Internship: type_______________________________________________________
____Other_______________________________________________________________

5. PURPOSE FOR USING THESE INSTRUMENTS

____Research: all information specific to the individual will be kept confidential; information will be used only as a group aggregate. Please attach a description of your intended study.

____Assessment of the examinee: to obtain and use information specific to the individual for:
(check all that apply)____Counseling____Selection____Placement____Other:_____________

6. CERTIFICATION

I certify that I have personal knowledge of the relevant professional testing standards (such as the APA-AERA-NCME Standards for Educational and Psychological Tests, 1985), that I and/or other persons who may use the instruments being ordered by me possess the appropriate training and competencies to use the materials being ordered, and that my/our use of such materials will adhere to applicable State and Federal laws and regulations, and the ethical principles of my profession.

____I agree to supervise the individual indicated in Section 3 in the use of items ordered.
Name______________________________________________________________________
Department/Institution_________________________________________________________

Phone Number Email Address _______________________________
Signature________________________________________________Date______________

Adapted by special permission of the Publisher, Consulting Psychologists Press, Inc., Palo Alto CA 94306, from The CPP Instrument Purchaser Qualification Form. Further reproduction is prohibited without the Publisher's consent.

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