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QF Form


Please Note: This form should be completed by the individual wishing to administer, score and interpret any assessment product available from Ann Arbor Publishers. The form should be completed as fully as possible, including the provision of registration numbers of any professional affiliations. If you are submitting the form with your order, please allow time for it to be processed. The form is only required on first registering OR if your circumstances have changed since you registered.

(* denotes required information)

*Title
*Full Name:
*Address:

 
*Postcode:
*Contact Telephone Number:
*Email:
*Occupation:
*Job Title:
*Do you hold Qualified Teacher Status (QTS)?:
*Highest Professional Qualification Gained:
*Date of Qualification(s):
*Awarding Institution(s):
Other Qualifications Gained, including Date of Award and Name of Awarding Institution:
If you hold full and active membership of any of the following, please provide your registration number:  
Health and Care Professions Council (HCPC):
British Psychological Society (BPS):
American Psychological Association (APA):
Royal College of Psychiatrists (RCPsych):
General Medical Council (GMC):
Nursing and Midwifery Council (NMC):
If you are a member of any other Professional body or association please provide the Association name and your registration number:
Are you currently enrolled on a specialist course and require access to product(s) to complete the course? Please provide Course Title, Level and Provider
Products requested:
* Enter a random number followed by any 4 lowercase letters
* Declaration: By completing and submitting this form to Ann Arbor Publishers, I certify that the information provided is accurate and true and that any materials purchased will not be copied, distributed or re-sold in any format without specific written consent from the associated publisher. I also certify that I and/or any other individual associated with me who may use test materials acquired by me from Ann Arbor Publishers, are adequately and appropriately qualified and experienced in ethical test administration, scoring and interpretation, as set out by The British Psychological Society.

I accept the Declaration


 

 

 

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