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University Alliance Program

 
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Registering for the University Alliance Program

Become a University Alliance Program member by completing the following application. Keep in mind, Pearson is only able to review and process complete applications. The UAP applies to accredited degree-granting academic training settings and university-based clinics in the United States only. Practicum and internship settings are not eligible for the UAP. To view the UAP Terms and Conditions.

Once approved as a UAP member, additional protocol/record forms, Q Local software reports, and other items can be requested at a special 40% discounted rate. Purchase orders can be faxed to 1-800-632-9011, or you may call 1-800-627-7271 to place an order using a credit card. Be sure to include the name of the professor or training director who is the approved UAP member and include the 40% discount on your items  (subject to UAP Terms and Conditions

This application must be completed by the professor or training director who is making the commitment.

Required fields marked with an asterisk
Are you the Training Director of a university-based clinic? Yes No

UAP applications for university-based clinics must include a valid ADPTC (Association of Directors of Psychology Training Clinics) membership number.

Please provide your ADPTC membership number

*Is this your first time requesting material?  
*Name  
*Title  
Dept.
*Institution  
*Shipping Address1  
Shipping Address2
*City  
*State  

*Zip Code  
The UAP is offered to universities and colleges in the United States only.
*Office Phone  
Office Fax
*Email
 
*Password
 
Best Time of Day to Contact

Course Information
Acronym Number Title/Description




 


Pearson is committed to maintaining professional standards in testing as presented in the Standards for Educational and Psychological Testing published by the AERA, APA, and NCME. Please establish your qualification level to ensure that you meet the criteria necessary to purchase these tests. To view the Pearson qualification policy and levels, click here.


*Qualification Level you are requesting:
Valid license or certificate issued by a state regulatory board (for example, LP, LPC, LCSW or other):
Certificate/License Number
License Type
Certifying or Licensing Agency
State Expiration Date
OR

Highest professional degree attained:
Year Institution
Degree Major Field

Additional Training Courses:
Yes, completed coursework No, didn't complete coursework
If yes Course Date
If yes Institution
Graduate level Undergraduate level

Participation in related Pearson-approved workshop:
Workshop Name
Date Location
Leader
        (description of qualification levels and requirements)

I Agree that:
  • I am qualified to properly use any Pearson products I order, and I have provided Pearson with only accurate and true qualification information.
  • Any Pearson test products purchased under my account will be used by me and/or under my supervision.
  • Any Pearson test products purchased under my account will be used in accordance with all applicable legal and ethical guidelines.
  • I have read and hereby apply Pearson terms and conditions to all orders for my account and will abide by the Pearson UAP Terms and Conditions and Qualification Criteria web pages. Please check this box in order for your application to be processed.

To Reach a Client Relations Representative

Call: 1-800-627-7271 ext. 6418
7 AM-6 PM CST
E-Mail: pearsonassessments@pearson.com


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