Version(s):

Name:

Address:

Address:

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Profession:

Please Select One Clergy Graduate or Doctoral Student LCSW Manager/Supervisor at a Business MFT Owner/CEO of a Business Principal Psychiatrist Psychologist School Counselor School Psychologist Social Worker Student Teacher Workplace Employee Other-See Below
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Purpose:

Please Select One Assessment Clinical Use Program Evaluation Research Other-See Below
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School at which TABS may be administered:

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Additional information about your plans for administering the TABS/WBS: