My T-JTA training will be offered in conjunction with a:
University or College
Military or Gov't Agency
Other (Please Describe in Detail
If training is to be given at a school, please indicate the name of the school and its address.
If training is to be offered under the name or auspices of an organization other than a school give the
name and address of the organization and its general purpose.
My T-JTA trainees will fall into the following categories:
Marriage & Family Counselors
Pre-professional student in Psychology, Social Work, Education>
Other, Please specify
I am planning to conduct my first T-JTA training seminar or course on the following date:
Approximate number of participants:
How many times a year will training be offered?
Describe your intended T-JTA training course of Seminar:
Number of years used:
Approximate number of administrations:
In your own words, please describe your experience with the T-JTA:
Please check the edition of the T-JTA Test Manual you are using:
If you have a T-JTA Handbook check the edition Year:
Please indicate the Year of the Newest Norm Tables you have:
The sale and use of the T-JTA is restricted in accordance with standards established by
the professional counseling associations. In particular, a test user should have a general knowledge of measurement priciples and of the
limitations of test interpretation. Therefore, the T-JTA is made available only to tose individuals who have obtained a relevant
degree from or who are currently enrolled (Provisional Approval) in a college or seminary.
Are your training classes of seminars likely to include individuals who are not graduates of or enrolled in a college or seminary?
I agree to accept for T-JTA training only those persons who meet the requirements for eligibility to purchase
and use the T-JTA as explained above and in the Instructor's Guidelines. I agree to have each trainee complete
an Application to Purchase \Qualification Summary, and immediately upon the completion of training, I will
collect, co-sign, and return these forms to Psychological Publications, Inc. for approval or have trainees complete application form online at www.tjta.com/application.htm.