Application for Board Certification in Hearing Instrument Sciences
This document serves as the official application for board certification in hearing instrument sciences. It outlines the necessary steps and requirements for applicants. Completing this application is the first step in advancing your professional credentials in this field.
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How do I fill this out?
Begin by gathering all necessary documentation required for the application. Ensure that your personal information is accurate and complete before submission. Finally, follow the payment instructions provided in the application.

How to fill out the Application for Board Certification in Hearing Instrument Sciences?
1
Gather necessary documentation such as your state/provincial license.
2
Complete the personal information section with accurate details.
3
Detail your professional work experience for the last 5 years.
4
Indicate your payment method and complete the payment section.
5
Review the application for accuracy before submitting.
Who needs the Application for Board Certification in Hearing Instrument Sciences?
1
Hearing Instrument Specialists seeking certification.
2
Individuals looking to validate their professional experience.
3
Employers requiring certification for their staff.
4
Self-employed professionals wanting to enhance their credentials.
5
New graduates aiming for entry into the hearing instrument field.
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What are the instructions for submitting this form?
To submit your application, you can mail it to the NBC-HIS office at 33900 8 Mile Road, Suite 101, Farmington, MI 48335. Alternatively, you may complete it online through the designated link provided. Ensure your payment information is accurately filled out and accompany the application with necessary supporting documentation.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include application deadlines which may vary year to year. It's essential to verify with NBC-HIS for the latest updates regarding examination schedules. Ensure you stay informed for timely submissions.

What is the purpose of this form?
The purpose of this form is to apply for board certification in the field of hearing instrument sciences. It serves as a necessary step for professionals seeking to validate their skills and knowledge. Successfully completing this application is a critical milestone in your professional development.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Contains sections for applicants to provide identifying information including name, date of birth, and contact information.
- 2. Professional Work Experience: Lists fields for detailing work history and relevant experience in hearing instrument dispensing.
- 3. Payment Information: Specifies the payment methods and details needed to process the application fee.
- 4. Company Information: Requires details about the applicant's employer or business if applicable.
- 5. Declaration: A section for the applicant to sign and confirm the accuracy of the information provided.
What happens if I fail to submit this form?
Failure to submit the application can delay your certification process. Incomplete applications may result in rejection, necessitating resubmission. It's crucial to provide all required documentation to avoid complications.
- Incomplete Information: Submitting an application with missing or inaccurate information may lead to delays or rejection.
- Missing Documentation: Failure to include necessary supporting documents can result in an incomplete application.
- Payment Issues: Not providing the correct fee may prevent the application from being processed.
How do I know when to use this form?

- 1. Applying for Certification: This form is used specifically when applying for board certification after meeting the necessary requirements.
- 2. Verifying Professional Experience: It may be used to document your professional experience as part of the certification process.
- 3. Updating Personal Details: You can also utilize this form to update or correct any personal information on record.
Frequently Asked Questions
How do I submit this application?
You can submit the application by mailing it to NBC-HIS or submitting it online using the provided link.
What is the application fee?
The application fee is $225 for US and Canadian applicants.
How will I know if my application is approved?
You will receive confirmation via email once your application has been processed.
What if I need to change my personal information?
You can edit your personal information directly on the application form before submission.
Who should provide the letter of experience?
Your employer must provide a letter on company letterhead attesting to your two years of dispensing experience.
Can I apply if I am self-employed?
Yes, self-employed applicants should contact NBC-HIS for guidance on verifying dispensing experience.
How quickly will I receive my exam results?
Exam results will be emailed to you immediately after completion of the exam.
What are the annual fees after certification?
The annual revalidation fee is $225, due the calendar year following your certification.
Where can I find this form?
You can access the application form on the NBC-HIS website.
Is there a deadline for submissions?
Be sure to check the NBC-HIS website for any relevant deadlines regarding application submissions.
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