Testing Certification

Please fill out the form below to apply for test certification:

In order to be certified to administer tests for “Older Breast Cancer Patients: Risk for Cognitive Decline,” you must complete the requirements outlined below. Once these four requirements have been completed, then record yourself administering the entire test battery to someone (it does not matter who) and reading the WRAT word list. See the Testing Manual for detailed instructions on training.

  • MM slash DD slash YYYY
  • Max. file size: 100 MB.
    Either upload all forms here or upload them in multiple fields. To be included: 1) Training video: Summary sheet and indicated forms 2) Additional figure drawing 3) Scoring of your certification video, including ALL forms from administration and scoring. 4) NAB main module score print out from your video only
  • Max. file size: 100 MB.
  • Max. file size: 100 MB.

Contact|Directory|BUMC
February 23, 2012
Primary teaching affiliate
of BU School of Medicine