MIMOS-ETS INTERNATIONAL PSYCHOMETRICS TRAINING 2012

Workshop Registration Form

Thank you for your interest in our International Psychometrics Training Workshop.

Kindly complete the information below and click on the submit button to register for one of our upcoming workshops. We will contact you shortly to confirm your registration, including pricing. Please do note that the submission of this form simply sends your information to us. It does not process your payment/credit card, should you include that information. Please do not hesitate to contact us.

WORKSHOP ATTENDEE INFORMATION
* Title :
* First Name : A value is required.
Middle Initial :
* Last Name : A value is required.
Job Title :
* Company : A value is required.
* Address Line 1 : A value is required.
Address Line 2 :
* City : A value is required.
State or Province :
Postal (ZIP) Code :
* Country : Please select an item.
* Phone : A value is required.
Fax :
* E-mail : A value is required.Invalid format.
WORKSHOP REGISTRATION
Please make a selection. Minimum number of selections not met. Maximum number of selections exceeded.
Please select the Workshop(s) that you wish to register
INTRODUCTION TO ITEM RESPONSE THEORY
June 12 - 14, 2012
TEST EQUATING, LINKING AND SCALING
June 18 - 20, 2012
PSYCHOMETRICS PRINCIPLES
(TBC)
STANDARD SETTINGS & REPORTING RESULTS
(TBC)
ITEM WRITING & SCORING RUBRICS
(TBC)
ADMINISTRATIVE CONTACT INFORMATION
If some administrative contact should be copied on invoices and other information about the workshop, please enter that person's information below
Admin's Name :
Admin's Phone :
Admin's E-mail :
Admin's Address :
PAYMENT INFORMATION
If paying by cheque, please mail a copy of this form with your cheque to:
MIMOS Berhad, Technology Park Malaysia 57000 Kuala Lumpur, Malaysia.
MALAYSIAN PARTICIPANTS (GOVERNMENT)
Payment Method :
 
 
 
(For Credit Card, please download this form, print, fill and fax/e-mail to us)
MALAYSIAN PARTICIPANTS (PRIVATE/CORPORATE ORGANISATIONS)
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(For Credit Card, please download this form, print, fill and fax/e-mail to us)
INTERNATIONAL PARTICIPANTS (NON-MALAYSIANS)
Payment Method :
 
(For Credit Card, please download this form, print, fill and fax/e-mail to us)
If the billing address for the credit card entry is different from the workshop attendee's address entered above, please enter the billing address for the credit card, including postal code, in the box below.
Credit Card Billing Address :
OTHER INFORMATION
Do you have any special needs, such as dietary,
that the workshop organisers should know?
Vegetarian :
Special Needs :

If 'Yes', please state below:
REFERRAL INFORMATION
We would greatly appreciate information about how you found us:
How did you hear about us? :
 
 
 
 
 

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THANK YOU FOR YOUR REGISTRATION

Click on Submit to send us your information