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Assessment Request Form
Bill To
Company
*
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*Only complete if this is your first time requesting an assessment through Revela.
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Armed Forces Americas
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Candidate Information
Candidate Name
*
First
Last
Candidate Email Address
*
What date would you like the assessment to be sent?
*If no date is entered, assessment will be sent the day the form is submitted.
Date Format: MM slash DD slash YYYY
Assessment Information
Which assessment would you like to send?
*
Profile XT (multi-purpose assessment used for hiring and coaching)
PXT Select (one person, one position)
Profiles Sales Assessment (a version of the PXT used specifically for sales positions)
Everything DiSC® (information about a person's communication style)
Which reports would you like to receive?
*
Interview Guide (used for interviewing candidates for a specific position)
Performance Model Comparison (compares against a Performance Model)
Comparison Summary (general overview of the comparison)
Executive Leadership Report (used to assess Executives and C-Suite positions)
Individual Profile (provides a guide for self-understanding)
**Send Individual Report to Candidate
Which reports would you like to receive?
*
Comprehensive Selection Report (one person, one position)
Coaching Report (management considerations after the hire)
Individual's Feedback Report (a guide for self-understanding)
**Send Individual's Feedback Report to Candidate
How Will This Assessment Be Used?
*
Selection/Succession
Coaching/Performance
What Position Is This Person Being Considered For?
*
What Position Does This Person Currently Hold?
*
Which version of the assessment would you like?
*
Everything DiSC® Workplace
Everything DiSC® Management
Everything DiSC® Sales
Everything DiSC® Work of Leaders
**Send Individual Report to Candidate
Who should receive the results?
*
Other Information
Please enter any other information we should know. (Example: Allocate to Branch #123 on the invoice.) Or if you'd like another assessment for the same person, please indicate that here.
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