Ariz. Admin. Code § R9-13-110 - Hearing Screening Trainer Certificate of Completion

A. An individual may apply for a trainer certificate of completion if the individual meets the eligibility requirements specified in R9-13-109(A) and (B) .

B. An individual applying for a trainer certificate of completion shall submit a request to the Department at least 30 days prior to November 1 of a calendar year.

C. An individual shall provide a request for a trainer certificate of completion to the Department in a Department-provided format that includes:

1. The individual's;

a. Name,

b. Address,

c. E-mail address, and

d. Telephone number;

2. If applicable, the individual's former names;

3. If the individual has completed 30 semester credits specified in R9-13-109(A)(1), the:

a. Name of the accredited college or university attended,

b. Class title for each class completed, and

c. Number of semester credits for each class;

4. If the individual has completed two years of employment specified in R9-13-109(A)(2), the:

a. Employer's name,

b. Individual's position and description of responsibilities, and

c. Months and years of employment;

5. If the individual is a licensed audiologist specified in R9-13-109(A)(3), the:

a. Audiologist's license number, and

b. Date of expiration;

6. If the individual is a screener specified in R9-13-109(A)(4), who has maintained a hearing screener certificate of completion for the previous five years, the:

a. Names of the school districts where the screener provided hearing screenings, and

b. Screener's certification of completion date of expiration;

7. Whether the individual completed the hearing screenings specified in R9-13-109(B) ;

8. An attestation that the individual affirms:

a. To provide, if available to the public, notice of hearing screening instruction, examination, or assessment of competency specified in R9-13-109(D) to the Department 30 calendar days prior to providing to individuals to become a screener;

b. To provide information for each hearing screening training specified in R9-13-109(C) ; and

c. The information provided in the request for certificate of completion is true and accurate; and

9. The individual's printed name and date of signature.

D. Within 10 calendar days from the date the Department receives an individual's request for a trainer certificate of completion, the Department shall send a notification to the individual that:

1. The individual may register to take classroom instruction and written examination, and

2. How the individual may register.

E. If the Department determines there is a need for additional trainers prior to the November 1 submission date in subsection (B), the Department shall provide:

1. A notice to the public that trainer certificate of completion requests will be accepted.

2. When an individual may submit a trainer certificate of completion request.

F. If the Department determines not to accept any trainer certificate of completion requests in subsection (B), the Department shall provide:

1. A notice to the public that no trainer certificate of completion requests will be accepted.

2. The notice 30 days prior to the November 1 submission date in subsection (B).

A. An individual who meets the eligibility requirements, as specified in R9-13-109(A), may apply for a hearing screening trainer certificate of completion by submitting a request to the Department, in a Department-provided format, that includes:

1. The individual's name, address, e-mail address, and telephone number;

2. If the individual is a licensed audiologist, as specified in R9-13-109(A)(1), the:

a. Audiologist's license number, and

b. Date of expiration;

3. If the individual is a registered nurse according to A.R.S. Title 32, Chapter 15, as specified in R9-13-109(A)(2), the:

a. Registered nurse license number, and

b. Date of expiration;

4. If the individual has completed 30-semester credits, as specified in R9-13-109(A)(3), all applicable academic transcripts demonstrating that the qualifying educational requirements have been met:

5. If the individual is a hearing screener who has maintained a hearing screener certificate of completion for the previous five years, as specified in R9-13-109(A)(4), the:

a. Names of the school districts where the hearing screener provided hearing screenings, and

b. Hearing screener's certification of completion date of expiration;

6. Whether the individual completed the hearing screenings, as specified in R9-13-109(A)(3) ; and

7. An attestation that:

a. The applicant will comply with the requirements in R9-13-109, and

b. The information provided in the request for the hearing screening trainer certificate of completion is true and accurate; and

c. The individual's signature and date of signature.

B. Within 30 calendar days after the date the Department receives an individual's request for a hearing screening trainer certificate of completion, the Department shall send a notification to the individual regarding the information on how the individual may register to take hearing screening classroom instruction and written examination.

Notes

Ariz. Admin. Code § R9-13-110

Former Section R9-13-117 renumbered and amended as Section R9-13-110 effective February 18, 1986 (Supp. 86-1). Repealed effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 25 A.A.R. 1827, effective 7/2/2019. Amended by final rulemaking at 30 A.A.R. 1949, effective 7/7/2024.