Forms and Fees
Find the forms you need and view the fees for certification.
Forms
Application Process
- LSL Registry
- Certification Handbook | Manual de certificaión
- Attachment F-1: Mentor’s Observation Form | Anexo F-1: Formulario de Observación del Mentor
- Applicant CEU Requirements
Exam Preparation
- LSLS Certification Exam Blueprint | Programa del examen de certificación LSLS
- Terms List Related to the LSLS Certification Exam Blueprint | Lista de términos relacionados con el programa del examen de certificación LSLS
- Suggested References
- Additional Exam Preparation Resources
- Retest Request Form
Maintaining Certification
PDF Writeable Forms
- Attachment B AVT Attestments | Anexo B: los principios de la terapia auditivo-verbal
- Attachment B AVEd Attestments | Anexo B: los principios de la educación auditivo-verba
- Attachment C-1: 80 Continuing Education Units (CEUs) | Anexo C-1: 80 Unidades de educación continua (CEUs)
- Attachment C-2: 10 Hours of Structured Observations Log | Anexo C-2: Registro de 10 horas estructuradas de observación
- Attachment C-3: 10 Hours of Live or Recorded Structured Observation Verification Form | Anexo C-3: Formulario de verificación de las 10 Horas de observación estructurada en directo o grabadas
- Attachment D: 900 Hours of Professional Experience | Anexo D: 900 Horas de experiencia profesional
- Attachment E: Checklist of Mentored Sessions | Anexo E: Lista de Verificación de las Sesiones tutorizadas
- Attachment F-1: Mentor’s Observation Form | Anexo F-1: Formulario de Observación del Mentor
- Attachment F-2: Applicant’s Self-Evaluation | Anexo F-2: Autoevaluación del solicitante
- Attachment H: Class Roster (AVEd applicants only) | Anexo H: Lista de la Clase (AVEd applicants only)
- Written Documents Checklist | Listado de comprobación de documentos
Mentoring Documents
- Frequently Asked Questions for Mentors
- LSLS Mentor Guide | Guía del mentor
- Attachment F-1: Mentor’s Observation Form | Anexo F-1: Formulario de Observación del Mentor
- How to Complete the F-1 Form | Formulario F-1 – Instrucciones
- Sample Mentoring Agreement
- What is Important About Me
Other Resources
Certification Fees
The cost of certification is divided into three separate fees due during the three-to-five year certification process:
| Services | AG Bell Members | Non-member |
|---|---|---|
| LSL Registry Enrollment Fee* | $200 | $200 |
| LSLS Certification Examination Fee | $200 | $300 |
| Award of Certification Fee | $95 | $195 |
| LSLS Exam Retesting Fee | $250 | $350 |
| Practice LSLS Certification Exam | $50 | $50 |
| Request for Approval of Individual CEUs | $35 | $35 |
| Insufficient Funds Fee | $50 | $50 |
| Re-Certification Fee | $125 | $125 |
| Re-Certification Late Fee** | $100 | $100 |
| Academy CEU Provider fees+ | $150 per session/workshop $450 per year $350 per conference/convention | Same |
*When your enrollment application has been submitted, you will receive a payment invoice email from PayPal. Once you make your payment, the Academy will be notified and will review your LSL Registry Enrollment.
The Academy will accept Check/Money Order, or Credit Card. If your country does not accept PayPal, please contact lslregistry@agbell.org to secure payment. If you wish to mail a check or money order, select “Check” in the dropdown menu.
Mail checks to:
AG Bell Academy
3417 Volta Place, NW
Washington, DC 20007
Your registry enrollment will be reviewed once the Academy receives your check/money order. Payment is accepted in U.S. dollars only.
**The $100 late fee is payable after 30 days late. See the Recertification page for more details.
+Applications received after the 6-week deadline will be charged an additional $100 late fee. Full details for CEU providers are available on the Continuing Education page.
