Discovery 360 Series Certification Reg Form

Certification Registration Form

Discovery Learning Inc. has certification or qualification guidelines for using the Discovery 360° Series™. Our intent is to enhance the appropriate use of this product by professionals who are trained and experienced in the application of assessment tools and feedback techniques.

Meeting the certification or qualification guidelines are a prerequisite to placing a product order. If you have questions regarding any of the requested information, please contact a Discovery Learning Solutions™ specialist.

I would like to be considered for qualification *
First Name *
Last Name *
Email Address *
Organization *
Title *
Address 1 *
Address 2
City *
Zip Code *
State/Province
Country *
Phone *
Education
Institution, Degree Earned and Major, Year Earned *
Relevant experience using 360° assessments
Discovery 360° Series
I would like to be certified in *
I have previously taken *
Intended use of the Discovery 360° Series *
Date of intended use
Date Used, Organization Type, Program Description
Additional Information
I would like to be listed as a certified trainer on www.discoverylearning.com *
I would like to receive my facilitator materials *
Type the characters you see in the picture to the right
Application of the Discovery 360° Series requires:
1. Familiarity with psychometric assessments
2. Skill in group feedback presentation

By clicking "Submit" above, I attest that the information provided above is accurate
to the best of my knowledge