Application for Apprentice’s Certificate

(1) Any person 18 years of age or older who holds a high school diploma from an accredited high school or has equivalent proof of high school education may apply in writing for certification as an apprentice. The application shall be made on a form or electronic application prescribed by the Board. (2) As a condition for applying for an apprentice’s certificate, the applicant shall agree in writing to participate in and perform the training, functions and responsibilities prescribed for apprentices in 265 CMR 4.00 and agree to uphold standards of ethics and professional conduct. (3) The applicant’s apprenticeship supervisor shall certify the application as prescribed on the application form. The certification shall include a verification of the statements of the apprentice and a statement that the supervisor agrees to participate in the apprenticeship program described in 265 CMR 4.00 including the provision of applicable instruction of the formal training requirements of 265 CMR 4.03 and to perform the functions and duties prescribed in 265 CMR 4.06. (4) The applicant’s apprenticeship supervisor shall certify in writing that he/she is registered in good standing in the Commonwealth as a hearing instrument specialist or licensed as an audiologist. He or she shall provide the appropriate license number and date of expiration to the Board. (5) The applicant shall accompany his or her application with the filing fee set by the Secretary of Administration and Finance. The fee shall be paid by personal check or money order. (6) The Board shall notify an applicant promptly in writing whether or not his/her apprentice application has been approved. The initial written notification may be in electronic form. If the Board approves the application, the Board shall issue to the applicant an apprentice's certificate, and such certificate shall include the name of the applicant's apprenticeship supervisor and the date on which the period of training and experience referred to in M.G.L. c. 112, § 198 shall begin.