PSPG Psychological Screening (2022)
REGISTRATION FORM Please fill out the top section of the form fully to register for any of our scheduled testing dates. NOTE that payment can be made today or at a later date via check, purchase order, etc. Please mark which type of PSYCH SCREENING is appropriate in the lower section of this form before hitting the SUBMIT Button. Note that testing starts at 8:15am on the scheduled day and lasts 4-5 hours. A follow-up interview will be scheduled at the time of testing.
Name of Individual to be Tested
First Name
Middle Name
Last Name
Testing Date Requested
Please Select
June 3, 2022
June 10, 2022
June 17, 2022
June 24, 2022
July 1, 2022
July 8, 2022
July 15, 2022
July 22, 2022
July 29, 2022
August 5, 2022
August 12, 2022
August 19, 2022
August 26, 2022
September 2, 2022
September 9, 2022
September 16, 2022
September 23, 2022
September 30, 2022
October 7, 2022
October 21, 2022
October 28, 2022
November 4, 2022
November 11, 2022
November 18, 2022
December 2, 2022
December 5, 2022 (Monday)
December 9, 2022
December 16, 2022
December 30, 2022
Department or Agency Requesting Testing
Name of Department Contact or Individual Scheduling Testing
First Name
Last Name
Department Contact Email
example@example.com
Department Contact Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments
PAYMENT OPTIONS- Please Choose One of the Options Listed Below
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Submit Registration with Future Payment Via Check or Purchase Order
$
Free
Standard LAW ENFORCEMENT Screening
$350 plus GRT
$
377.56
Level 3 SECURITY Screening
$275 plus GRT
$
296.66
SPECIALTY ASSIGNMENT Law Enforcement Screening
$350 plus GRT
$
377.56
Psych SCREENING INCLUDED in Current Agency Contract
$
Free
Credit Card
Submit Application
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