USER ACCEPTANCE FORM
Qualifications Process Please establish your qualification level for purchases by com pleting this User Acceptance Form. This form can be emailed to qualifications@proedinc.com; mailed to PRO-ED Qualifications, 1301 W. 25th Street, Suite 300, Austin, TX 78705; or faxed to (800) 397-7633. For faster service, you can also complete this form online at www.proedinc.com. PRO-ED is committed to maintaining professional standards in testing as presented in the Standards for Educational and Psychological Testing , published by the American Educational Research Association (AERA), American Psychological Association (APA), and National Council on Measurement in Education (NCME). A central principle of professional test use is that individuals should administer only those tests for which they have the appropriate training and expertise. PRO-ED supports this principle by stating qualifications for the use of particular tests and selling tests only to individuals who provide credentials that meet those qualifications. The standards that PRO-ED employs to comply with professional testing practices are described below. QUALIFICATION LEVEL A: There are no special qualifications to purchase these products. QUALIFICATION LEVEL B: Tests may be purchased by individuals with: • A master’s degree in psychology, education, occupational therapy, social work, counseling, or a field closely related to the intended use of the assessment, and formal training in the ethical administration, scoring, and interpretation of clinical assessments OR • Certification by, or full active membership in, a professional organization (such as ASHA, AOTA, AERA, ACA, AMA, CEC, AEA, AAA, EAA, NAEYC, NBCC) that requires training and experience in the relevant area of assessment OR • A degree or license to practice in the health-care or allied health-care field OR • Formal, supervised mental health, speech–language, occu- pational therapy, social work, counseling, and/or educational training specific to assessing children, or in infant and child development, and formal training in the ethical administration, scoring, and interpretation of clinical assessments. QUALIFICATION LEVEL C: Tests with a C qualification require a high level of expertise in test interpretation and can be purchased by individuals with: • A doctorate in psychology, education, or a closely related field with formal training in the ethical administration, scoring, and interpretation of clinical assessments related to the intended use of the assessment OR • State licensure or certification to practice in a field related to the purchase OR • Certification by, or full active membership in, a professional organization (such as APA, NASP, NAN, INS) that requires training and experience in the relevant area of assessment. We are committed to supporting the professional standards of our clients, the integrity of our respected assessments, and the ethical obligations outlined by the American Psychological Association.
Name:
Telephone:
Fax:
Email:
Address:
City
State:
Zip:
Country:
Profession (circle one) Audiologist Behavior Analyst Consultant/ Specialist–Education Counselor–Family/Mental Health/Substance Abuse Counselor–Vocational/ Academic Director–Clinical Training Early Childhood Professional
Education Professional Educational Diagnostician Human Resources Professional Nurse Occupational Therapist Physical Therapist
Psychologist–Clinical Psychologist–Forensic Psychologist–Industrial/ Organizational Psychologist–Neuro Psychologist–School Psychometrist Public Safety Officer Purchasing Agent School Social Worker Social Worker
Special Education Professional Special Education Teacher Speech–Language Pathologist Student/Intern Teacher Testing Coordinator Training Development Professional
Physician Principal Professor Psychiatrist
Do you have a valid license or certificate issued by a state regulatory board?
Yes
No
License number:
Licensing agency:
Do you have a professional degree?
Yes
No
Highest degree obtained:
Major/field:
Year degree completed:
Institution:
Date:
Do you have course work completed in the area of Tests and Measurements?
Yes
No
Date:
Course:
Institution
Level (circle one): Graduate Do you have formal, supervised mental health, speech–language, occupational therapy, social work, counseling, and/or educational training specific to assessing children, or in infant and child development? Undergraduate
Yes
No
Date:
Course:
Institution
Level (circle one): Graduate Do you have active or retired membership in the following professional organizations? (circle all that apply) Undergraduate
AAA ACA AEA AERA AMA AOTA APA ASHA CEC EAA INS NAN NASP NAEYC NBCC
Member #(s) I certify that: • I will update this information upon request. • I am qualified to properly use any test and assessment products I order, and I have provided PRO-ED/LinguiSystems with only accurate and true qualification information. • Any test and assessment products purchased under my account will be used by me and/or under my supervision. • Any test and assessment products purchased under my account will be used in accordance with all applicable legal and ethical guidelines. • I have read and hereby agree to PRO-ED/LinguiSystems’ Qualification Terms and Conditions of Sale and Use, and I agree I will not resell any test or assessment products. • I understand that violation of any PRO-ED/LinguiSystems’ Qualification Terms and Conditions of Sale and Use may result in the revocation of my right to purchase as a qualified customer. If there are any changes that may affect my qualification to purchase, I will immediately notify PRO-ED/LinguiSystems of such changes.
Signature:
Date
All fields required.
Phone Orders (800) 897-3202 • Fax (800) 397-7633 • orders@proedinc.com PRO-ED • 1301 W. 25th Street • Suite 300 • Austin, TX 78705 • www.proedinc.com
126 | 2025–2026 ASSESSMENTS
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