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DAP:IQ

Administration/Scoring Form

Name:________________________________________________ Gender:_______ Year Month (1-12) Day


Position Applied: _______________________________ Date of Testing: _____ ________ ____
Raw Score IQ Percentile Qualitative Descriptor Date of Birth: _____ ________ ____
_______ _______ _______ _______________ Test Age: _____ ________ ____

INSTRUCTION:

I want you to draw a picture of yourself. Be sure to draw your whole body, not just your head, and draw how you look
from front, not from the side. Do not draw a cartoon or stick figure. Draw the very best picture of yourself that you
can. Once you’re done, have it scanned or take a clear picture of your drawing and send it back to this email address
within the prescribed deadline. Do not forget to indicate your name, gender, date of your birth and test age.

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