Examinee Enrollment Form

Thank you for your interest in joining on of our research studies. 

 

By completing out this form you are asserting that you are interested in becoming an examinee with Pearson Clinical Assessment and agree to be contacted about your eligibility in a study.

The following information will help us ensure that we are contacting you for projects being conducted in your region and that we have openings in our research sample that match your demographic characteristics.

* Required Field

Example : 902-555-5555

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If completing for yourself, what is your highest level of completed education?*
If completing for child, what is the highest level of completed education for parent #1 in the household?*
If completing for child, what is the highest level of completed education for parent #2 in the household?*
Primary language for yourself/your child:

age of examinee

If completing for yourself, put N/A here

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