Field Testing -- Assessments
Thank you for your interest in participating in field assessments for standardized tests.  Compensation generally ranges from $20 - $80. Assessments take from 1 - 3 hours, including breaks. The environment is warm and supportive.

Please complete this form to be considered for participation. This form can be completed for participants ranging in age from birth to 99 years old. Please only include one participant per form.*  

Completing this form make you (or your child) eligible to participate. Selection is made based on demographic information. An email invitation will be sent from Pearson Clinical once a match has been made.

 If you have questions, please email me at assessment@sunshinemoss.com
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Email *
Participant Last Name *
Participant First Name *
Parent Name (if completing for child) *
Phone Number
Date of Birth *
MM
/
DD
/
YYYY
Gender *
State of Residence *
If other, please specify
Race *
Please select the options that best describes your child.
Please indicate all clinical diagnosis for which you have official assessment scores. *
Participants with a clinical diagnosis may receive greater compensation.  Please list ALL medical, psychological, and educational diagnosis. You will be asked for paperwork and test scores to verify the disability.                                                                                                                           If none, enter N/A.
Who does your child live with? Check all that apply. *
Required
Mother/Female Guardian Education Level
Please list the mother/female guardian in the home's highest level of education or degree attained.
Father/Male Guardian Education Level
Please list the father/male guardian in the home's highest level of education  or degree attained.
Language *
Check all that apply
Required
Mother/Father/Child Spanish Origin
Is the child or the parents of Spanish/Latin origin? If so, what country are each of you from?
Participant Spanish Origin
Is the child or the parents of Spanish/Latin origin? If so, what country are each of you from?
Participant education level for 2019-20 school year. *
If your child is home schooled please indicate their approximate grade level.
Additional comments...
Please share any other important information you would like us to know about you/your child.
Who referred you?
The person who referred you may be able to receive compensation once you/your child have completed an assessment.
A copy of your responses will be emailed to the address you provided.
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