Thank you for your interest in data collection at PAR!
Please complete the form in its entirety to start the process of becoming a data collector with us.
Examiner Onboarding
This form will ask for your contact information, clinical population access (adult and/or child), and gather background about tests you often administer and the environment you work in (research site/clinical site/etc.). Additionally, a non-disclosure agreement is included and a signed copy is required to collect data.
Name
*
First Name
Last Name
Email address
*
Secondary email address
Some school districts block emails from PAR, Inc.
Profession/Title
*
I reside in the United States or a United States territory.
*
Yes
No
Mailing address for shipping testing materials
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
example@example.com
How did you hear about data collection at PAR?
*
In which languages do you test?
*
Population access
Our upcoming data collection projects require data from the following groups.
Please indicate if you have access to any of the following adult populations for data collection purposes (check all that apply)
*
Adults who did not obtain a GED or high school diploma
Autism spectrum
Bipolar disorder
Dementia
Eating disorder
Incarcerated individuals
MS
OCD
Older adults (65+)
Parkinson's disease
Personality disorders
Psychosis/schizophrenia
Rural
Somatoform
Teachers
Trauma-related disorders
Visual neglect
None of these
Other
Please indicate if you have access to any of the following pediatric populations for data collection purposes (check all that apply)
*
Bipolar disorder
Conduct disorder, ODD, intermittent explosive disorder
Emotional disturbance
Neurofibromatosis
OCD
Sleep disorders
Spanish-speaking children with limited English proficiency
Substance use
Trauma-related diagnoses
Visual neglect
Young children (2-5)
None of these
Other
Please provide a brief summary of tests you administer on a regular basis:
*
If you are affiliated with a research lab or clinical site, please add a brief description of your work here (e.g., specialty populations you treat or study, if you keep a data set with demographics, diagnoses, test scores, etc.).
*
Does your institution require IRB approval to collect data?
*
Yes
No
I don't know.
Submit
Should be Empty: