AHAP Program Enrollment Form

Thank you for your interest in the Advanced Hearing Aid Professional Program. This is Step 1 of the enrollment process. Once this form has been reviewed, you will receive an email for Step 2 to complete the process. Contact us at education@ihsinfo.org if you have any questions.

IMPORTANT: The credential “AHAP,” the title “Advanced Hearing Aid Professional,” the program logos, and any other language that implies having earned or holding the credential may only be used in marketing by individuals who have completed the program, passed the final assessment, and maintain a license/certification/registration as a hearing aid professional in good standing.

IHS reserves the right to revoke the credential and title if an individual fails to adhere to the Credential Use Policy and/or violates the AHAP Program Code of Conduct. At all times, learners and graduates must adhere to any applicable laws, rules, and regulations related to credentials, marketing, and scope of practice for their license.

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Personal Information
Name*

First NameLast NameCredentials (ACA, BC-HIS...)
IHS Membership*

IHS Memberl am not an IHS member but would like to join & save!I am not an IHS member
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*

Area CodePhone Number
Which title best describes you?*

Hearing aid specialistAudiologistOwner/President/CEOTrainee/Student/ApprenticeMarketingAccount/Sales RepresentativeOperationsENTOffice StaffProfessor/EducatorOther
Company*
Which of the following best describes your work environment?*

Private Practice/ClinicRetail (i.e., Costco)FranchiseManufacturer-owned RetailEducational InstitutionManufacturerHospital/Medical ClinicOther
What is the highest academic degree you have earned?*

High School Diploma or GEDAssociate's degree in Applied ScienceAssociate's degree in ArtsAssociate's degree in ScienceBachelor's degreeMaster's degree in ArtsMaster's degree in ScienceMaster's degree in AudiologyPhDAuDOther
In what year did you earn your first license and/or begin practicing as a hearing healthcare professional?*
License Information

Your license must be in good standing and remain active throughout the program. Licensure will be verified by IHS staff.
License State/Province*
What is your license number?*
Date license was issued*
Please upload a copy of your license*

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Last 4 digits of Social Security Number*
Enrollment Information
Enrollment Information:
- Please review the Advanced Hearing Aid Professional Program policies linked here for enrollment options.
Refund/Cancellation Policy:

Term 1
If a learner cancels their enrollment 14 or more days before the term begins, a refund of monies paid less a 10% processing fee will be issued. If a learner cancels their enrollment less than 14 days before the term begins, no refunds will be given. The last day that refunds will be issued for Term 1 is September 9, 2024.

Term 2
If a learner cancels their enrollment 30 or more days before the term begins, a refund of monies paid less a 10% processing fee will be issued. If a learner cancels their enrollment less than 30 days before the term begins, no refunds will be given. The last day that refunds will be issued for Term 2 is December 3, 2024.

No Show Policy
In the event a learner “no shows,” a refund will not be given. Attendance accommodations/allowances may be granted on a discretionary basis. The learner is encouraged to contact IHS as soon as a problem arises.
By checking the below box, I assert that I have read and agree to adhere to the policies of the Advanced Hearing Aid Professional Program.
I agree to the Advanced Hearing Aid Professional Program policies.*

I agree
Payment Selection
Please select your desired payment option. Once verification is completed by IHS staff a separate payment form will be emailed to you. Please watch your email and if you do not receive your payment form within 3 business days, call 734-522-7200. More details about these registration options is found in the policies document linked above.*

Full tuition (member price $4790 less 10% discount, non-member price $5790)Term 1 Tuition (member price $1895, non-member price $2395) [Term 2 tuition will be billed separately and due by December 1, 2024.]Additional elective fee (optional) (member price $495, non-member price $695)Installment Payments (full tuition split into 5 payments, please refer to policies)
Please select which elective you would like*

12A: Cerumen Management: Assessment, Intervention, and Referral12B: Financial Analysis and Practice Management for Hearing Aid Professionals
Do you have a coupon code? Enter it here.
Upon successful completion of the program, I agree that IHS may list my name publicly in a directory on an IHS webpage and through various IHS publications congratulating new certificate holders.*

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Should be Empty:

Personal Information

License Information

Enrollment Information

Payment Selection