DAPP-BQ Manual Request Form

RPP is pleased to announce that for a limited time, we will be providing qualified persons with a free electronic copy of the DAPP-BQ Manual!

RPP wants to be sure that interested parties have access to the most up to date DAPP-BQ content, in a format that minimizes environmental impact. Simply complete the form below and we'll email you a copy within 2 business days.

RPP plans to make frequent updates to the manual, and to inform interested parties whenever a new version is available. However if people receive the DAPP-BQ manual from sources other than RPP, there is an unacceptable risk that they would either be receiving outdated materials, or would not be informed of newer versions. This is contrary to our goals. Therefore it is important that you do not make unauthorized copies of this manual, or forward it to others. Doing so is a violation of international copyright laws.

If you prefer to purchase a printed version, please contact us.

1. Qualified User

Contact Name:
Title:
Company:
Complete Address:	Street: City: Province/State: Country: Postal/Zip Code:
Email:
Phone:
Fax:

2. Education & Experience

Degree:	Yes:	No:	Year Completed:	Institution:	Major:
Bachelors:
Masters:
Doctorate:
Other:

List any relevant course work completed in Assessments and Measurement, as well as any relevant experience.

Course, Department, Institution:

List any relevant experience teaching courses in Assessment, Measurement, and/or Clinical Psychology or a related discipline.

Course, Department, Institution:

3. Professional Licenses and Memberships

Organization, License or Memberships:

4. Purpose

How did you first hear about the DAPP-BQ?

Additional Comments:

Which assessment(s) do you currently use?

Briefly describe why you are interested in the DAPP-BQ and/or your planned use of the measure:

What is your preferred means for administering and scoring assessments?

	Paper and Pencil / Hand Scoring
	Paper and Pencil / Fax-in Scoring
	Online
	Windows-based software