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Participate in the National Renorming of Hawthorne Rating Scales

Hawthorne Educational Services, Inc., is offering you the opportunity to participate in a national data collection project that would provide extra funds to spend at your discretion. Non-identifying data is currently being gathered nationally to renorm the ADDES-3. Hawthorne will pay $6.00 for each set (i.e., 1 school form and 1 home form for a student) which is properly completed and returned to our office by a specific date established at the time you receive your forms. The data you collect will be combined with the data from other examiners to establish norms. All information will remain completely confidential; data will be reported at the group level only. This is a limited participation project. Requests for rating forms will be filled on a first-come, first-served basis until our quota is reached. If you are interested in participating, please complete the information below and return via FAX (800-442-9509) or email ([email protected]) to request forms. Thank you for your consideration.

A minimum of 10 sets of forms must be completed per selected age group.

For each student chosen to be rated, a school form and a home form are to be completed.

REQUEST FOR DATA COLLECTION FORMS

Indicate the NUMBER of forms requested. REGULAR ED STUDENTS Age

4 yrs. 5 yrs. 6 yrs. 7 yrs. 8 yrs. 9 yrs. 10 yrs. 11 yrs. 12 yrs. 13 yrs. 14 yrs. 15 yrs. 16 yrs. 17 yrs. 18 yrs.

RETURN via mail, FAX, or Email: Hawthorne Educational Services, Inc. Attn: Adina Laird 800 Gray Oak Dr. Columbia, MO 65201

PHONE: 1-800-542-1673 FAX: 1-800-442-9509 EMAIL: [email protected] Web Site: www. hawthorne-ed.com.

We are also gathering data on a limited number of students IDENTIFIED as: Qty: _____ ADD/ADHD, Ages 4-18 Yrs. (rated by educators AND parents)

Contact Name: _________________________________________ School: _______________________________________________ Street Address: _________________________________________ Mailing Address: _______________________________________ City: _______________________ State: _______ Zip: ________ Phone: ______________________ Fax: ____________________

Home Forms

Completed by Parents

Completed by Educators

School Forms

H A W T H O R N E

Phone: (800) 542-1673 FAX: (800) 442-9509

Information

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