Boston University Medical Campus
TLC Study
TLC Study Home
Discussion and Updates
Submit Question
General Administration
Blood and Saliva Samples
MMSE
WRAT-4
VAMS
NAB Digits
NAB List Learning
Digit Symbol
NAB Driving Scenes
NAB Figure Drawing
COWAT
Logical Memory
Trails
TIADL
TUG
Category Fluency
BNT
Calendar
Training
Testing Certification
Training FAQs
Documents
Copyright
Blood Samples
Oragene Collection
Site Contacts
Certification by Site
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.
Name
First
Last
Date
Date Format: MM slash DD slash YYYY
Email
Phone
Test Site
Georgetown
MSKCC
Moffitt
City of Hope
Check if completed:
Read Manual
Watched Training Video
Scored your video
Scored additional Figure Drawings
Scored List Learning "What's up with that?
Scoring of Training Video
*
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
Scoring of your video
Additional files
Additional Comments:
TLC Study Home
Discussion and Updates
Training
Testing Certification
Training FAQs
Documents
Blood Samples
Site Contacts
About the Study
Contact
|
Directory
|
BUMC
February 23, 2012
Primary teaching affiliate
of
BU School of Medicine