Certified Instructor Application

For a printable version of this application please click here.

For information on next Board Exam date and location call (800) 441-2515

Your Name
Doing Business as
  Year Started
Previous DBA
  Year started
Address
Address (cont)
City
State
ZIP/Postal Code
Country
Home Telephone
Office Telehphone
Cellular Telehphone
Email Address
Website
Year Trained
Year Started Practice
Year AAM Board Exam Passed
*****5 Year Mininum Required*****
Have you been practicing for 5 years?
If less than 5, please specify
I comply with all City , State and County laws?
Name of Insurance Carrier?
Year first insured
My native language is
If other please specify
I teach the following systems
Disposable Autoclave
I am an active member of
AAM SPCP Other 
I follow CDC and OSHA standards in my facility
Please estimate how many of each procedure, including touch-ups, you've done
Eyebrows
Eyeliner
Lipliner
Full Lipcolor
Camouflage
Cheek Blush
Eye Shadow
What method do you teach?
Manual
Rotary
Coil
Social Security number
Questions/Comments/Concerns
Confirm that you have the following credentials on file or available upon request: Training Certificates, Insurance Applications, Insurance Policy, Client Records, Licenses as Required, Industry Memberships, Proof of Occupancy, DBA or Corp Documents, TB Test and dates,
   
I hereby affirm that I meet all the requirements to become an Academy Certified Instructor and all the information submitted in this document is true and correct as of this day signed below. I agree to support the mission of the Academy and notify the AAM of any changes in my contact information. I understand that this information will be used to determine my status as a qualified Candidate for Certified Instructor Status. I have received a copy of the Instructors Program Packet and if approved, I agree to abide by the educational standards set forth by the AAM. I understand that if I have submitted any information, which is false or misleading (fraud), or I fail to meet the requirements of the AAM, it is cause to disqualify me and or expel me from the Academy.
   
 

BOARD CERTIFICATION EXAM OVERVIEW

Because of the increasing need for qualified instructors, the Academy has organized leading micropigmentation professionals to develop appropriate test formats and questions to ensure that the applicant is competent to instruct micropigmentation procedures.

AMERICAN ACADEMY OF MICROPIGMENTATION

Entry into the practice of micropigmentation, as with any licensed profession, is regulated by most of the states for the purpose of protecting the public from those people who are unable to practice micropigmentation safely and effectively. Therefore, candidates for certification are asked by the American Academy of Micropigmentation to provide evidence of the candidate's ability to deliver effective micropigmentation care and maintain appropriate state/local business licenses for the practice of micropigmentation.

BOARD EXAMINATION

The primary evidence of competency requires the successful completion of the Academy's Instructor Certification Exam which tests a candidate's capabilities for safe and effective micropigmentation practice. It is designed to test basic and advanced micropigmentation knowledge by a written, practical, and oral exam of health care situations requiring micropigmentation procedures.

Candidates must be board certified practitioners and active Fellows in the AAM. They should have had at least 5 years of clinical practice and have learned the basic information necessary to practice safe and effective micropigmentation through various kinds of classroom activities and clinical practice. Applicants may even have taken other examinations constructed to determine knowledge and understanding of clinical practice. However, any prior "diploma" and/or "certification" will not be accepted as proof of competency by the American Academy of Micropigmentation or the American Board of Medical Specialties. These types of "diplomas" and/or "certifications" have been issued by nonmedical personal with direct conflicts of interests due to economic benefits received by the companies from the candidates.

Since the American Academy of Micropigmentation has been organized to promote national standards and quality assurance to the industry by a group of highly respected physicians, nurses, and derma technicians that are not in the business of selling equipment, micropigmentation machines, and/or pigments, the certification examination has been developed with strict and objective guidelines. The same exam will be given to all applicants and all successful applicants will be considered Certified Instructors of the American Academy of Micropigmentation.

BASIC INFORMATION

The board examination is a one day exam given in three parts: practical, oral, and written portions.

The practical exam will consist of the applicant's ability to instruct treatment plans, safe and effective use of equipment, knowledge of sterilization, and ability to handle complications.

The oral exam will consist of questions directed towards the instructor's teaching manual that the applicant will bring with them to the exam. The questions will center on the manual utilized by the instructor as well as general knowledge questions on micropigmentation as they pertain to the teaching.

The written exam will consist of approximately 100 questions organized as multiple choice questions, true/false, and/or photo identifications. There are no separate answer sheets. All work must be recorded only in the booklet provided for each portion of the exam. Following administration of the examination, the test booklets are sponsored by the Academy. The applicants will be notified of their results by mail in about 3 weeks following the examination. Successful applicants will receive an instructor certification diploma with the title of Certified Instructor of the AAM.

Unsuccessful applicants will be allowed to retake only those portions of the exam that they did not pass at the next available exam date. Written portions will be offered at additional testing sites to minimize applicant travel expense. However, failure of the practical and/or oral portion of the exam require re-testing at the actual examination site. The cost will be $100.00 for each section not passed or $250.00 to retake the entire exam. If an applicant fails the exam 3 times then the applicant must take an approved American Academy of Micropigmentation refresher course before sitting for any additional examinations.

The Academy will make every attempt to be fair with candidates for examination. We will continue to correct and improve the various aspects of the exam with the help of our experts and candidates.

For more information contact:

Tiffany Zwerling, Credentialing
American Academy of Micropigmentation
2709 Medical Office Place
Goldsboro, NC 27534-9458
Toll Free 800/441-2515 Ask for Tiffany, Member Services

 


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