WFWIMPMLD: DISC and Motivators Request Form

Paragon Resources DISC and Motivators Request Form

There is a $110 per person fee for the Talent Insights DISC and Workplace Motivators Assessments which can be paid by credit card or check.

Please complete the form below to request the Talent Insights DISC and Motivators Assessments. After you and/or your team complete your online assessments, your reports will be sent directly to you with a copy to WIMPMLD@wellsfargo.com.

If you have any questions, contact Amanda at Paragon Resources, 770.319.0310.

Contact Person:

Contact Person's Email Address:

Contact Person's Telephone Number:

Team Name to Identify Team/Practice (if applicable):

This request is for: MeMy Team and Me

Do you need a team summary? (Additional fee $35)YesNoMaybe

Do you need a telephone assessment debriefing? (Additional fee $250/hour)YesNoMaybe

List the business emails (no abbreviations please) of ALL individuals who will be taking an assessment.
Include your email below if you are also taking the assessment.

Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:
Participant Email:

If you have more names, add their emails separated by a semicolon in the “Special Request/Notes” field below.

Special Requests/Notes: (optional)

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