2024-2025 ABA Board Application

Opportunities

The American Board of Audiology (ABA) is a committee within the American Academy of Audiology with the purpose of conducting professional certification programs in the field of audiology. The ABA has oversight of credential verification activities resulting in awarding ABA Certified (ABAC) and Pediatric Audiology Specialty Certification (PASC) credentials. Governance and decision making with respect to such certification programs are the responsibility of the ABA and they shall have complete authority over all essential certification decisions including criteria for certification and re-certification, verification of candidacy and awarding of certification, and defining of continuing competence.

Academy members in good standing who are American Board of Audiology Certified, or hold a Specialty Certification (Cochlear Implants or Pediatric Audiology) as of March 1, 2022, are encouraged to apply.

Three-year term commencing October 1, 2024 and ending September 30, 2027.

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* 1. Please provide the information we can use to contact you if you are selected for an open volunteer opportunity.

First and Last Name

Email Address

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* 2. What is your Academy (Member) ID number?

Don't know your member ID? Email membership@audiology.org.

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* 3. Please indicate your years of professional experience.

0-3 Years

4-6 Years

7-10 Years

11-15 Years

More than 15 Years

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* 4. Professional setting

Clinic

Corporate Audiology Group Practice

Ear Nose and Throat

Government

College/University Staff

Hospital

Manufacturer

Military/VA

Primary/Secondary School

Private Practice

Retired

Other (please specify)

Questions 5-9 are optional. If you are comfortable disclosing, please select the option(s) that best reflect you. This information will be used by the Academy to continue diversity, equity, inclusion, and belonging efforts.

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* 5. Which of the following most accurately describes you? (select all that apply)

Woman

Man

Non-binary

Transgender

Intersex

Prefer not to say

Other (please specify):

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* 6. Do you identify as a part of the LGBTQIA+ community, not including as an ally?

Yes

I am not sure

Prefer not to say

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* 7. Which category/categories best describe(s) you (select all that apply)?

American Indian or Alaskan Native (e.g., Navajo Nation, Mayan, Aztec, Traditional Government, Nome Eskimo Community)

Asian (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese)

Black, African American, or African Heritage (e.g., Ethiopian, Haitian, Jamaican, Nigerian, Somalian)

Hispanic, Latino, or Spanish Origin (e.g., Cuban, Colombian, Dominican, Mexican American, Puerto Rican, Salvadorian)

Middle Eastern or North African (e.g., Algerian, Egyptian, Lebanese, Iranian, Moroccan, Syrian)

White (e.g., French, German, Irish, Italian, Polish)

Mixed

Unsure

Prefer not to answer

Some other race, ethnicity, or origin, please specify:

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* 8. Disability: (ADA definition of disability) The ADA defines an individual with a disability as a person who: (1) has a physical or mental impairment that substantially limits a major life activity, (2) has a record or history of a substantially limiting impairment, or (3) is regarded or perceived by an employer as having a substantially limiting impairment. Do you identify as having a disability?

Yes

I don't know

Prefer not to say

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* 9. If applicable, select which type(s) of disability you identify with:

Physical, please specify:

Sensory, please specify:

Mental Health, please specify:

Other (please specify):

Prefer not to say

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* 10. Current position

Audiologist

Clinical Audiologist

Contract Audiologist

Consultant Director

Educational Audiologist

Owner

Pediatric Audiologist

Professor/Instructor

Research Audiologist

Retired

Other (please specify)

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* 11. Please indicate your years of ABA Certification

0-3 Years

4-6 Years

7-10 Years

11-15 Years

None of the above

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* 12. Please list your previous board experience including any leadership positions or responsibilities.

Indicate availability for attending/participating in the following ABA Board meetings:

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* 13. 10/01/2024-9/30/2027 monthly conference calls (3rd Tuesdays at 7 pm ET)–duration approximately 1.0 hour each.

Yes, I am available to participate

No, I am not available to participate

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* 14. Board meetings at AAA Conferences (expenses not reimbursed):

March 26, 2025 (New Orleans, LA)

April 26, 2026 (San Antonio, TX)

April 7, 2027 (St. Louis, MO)

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* 15. Are you willing to serve on ABA committees and project-related task forces that may require additional meeting time beyond the monthly board meetings?

Yes, I am willing to serve on additional ABA committees
and task forces.

No, I won't have time to participate beyond the required
ABA board meetings.

Please upload a signed Conflict of Interest form and Code of Conduct form below using the corresponding hyperlinks. These forms are required to be able to volunteer with the Academy. Reach out to Hannah Mahieu at hmahieu@audiology.org with any questions or issues uploading the forms

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* 16. Please upload a copy of your Conflict of Interest form. The form can be filled out and signed electronically, or you may print and scan.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 17. Please upload a copy of your Code of Conduct form. The form can be filled out and signed electronically, or you may print and scan.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 18. Upload your most current curriculum vitae/resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 19. Tell us a little bit about yourself, why you choose to volunteer, why this committee interests you, or anything else you think will strengthen your application. Are there any new programs that you think the ABA should consider?

Thank you for submitting an application to join the ABA board.

The timeline for the nominations process is as follows:

May 31 - Application Deadline

Jun 1 - ABA Nominations Committee begins to review application and may contact you with additional questions.

Jun 20 - ABA board meets to approve new candidates for ratification by the Academy BOD in July.

Aug 1 - Notifications to all applicants will begin in early August.

2024-2025 ABA Board Application

Opportunities

Question Title

* 1. Please provide the information we can use to contact you if you are selected for an open volunteer opportunity.

Question Title

* 2. What is your Academy (Member) ID number?Don't know your member ID? Email membership@audiology.org.

Question Title

* 3. Please indicate your years of professional experience.

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* 4. Professional setting

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* 5. Which of the following most accurately describes you? (select all that apply)

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* 6. Do you identify as a part of the LGBTQIA+ community, not including as an ally?

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* 7. Which category/categories best describe(s) you (select all that apply)?

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* 9. If applicable, select which type(s) of disability you identify with:

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* 10. Current position

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* 11. Please indicate your years of ABA Certification

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* 12. Please list your previous board experience including any leadership positions or responsibilities.

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* 13. 10/01/2024-9/30/2027 monthly conference calls (3rd Tuesdays at 7 pm ET)–duration approximately 1.0 hour each.

Question Title

* 14. Board meetings at AAA Conferences (expenses not reimbursed):

Question Title

* 15. Are you willing to serve on ABA committees and project-related task forces that may require additional meeting time beyond the monthly board meetings?

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* 16. Please upload a copy of your Conflict of Interest form. The form can be filled out and signed electronically, or you may print and scan.

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* 17. Please upload a copy of your Code of Conduct form. The form can be filled out and signed electronically, or you may print and scan.

Question Title

* 18. Upload your most current curriculum vitae/resume.

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* 19. Tell us a little bit about yourself, why you choose to volunteer, why this committee interests you, or anything else you think will strengthen your application. Are there any new programs that you think the ABA should consider?

* 2. What is your Academy (Member) ID number?

Don't know your member ID? Email membership@audiology.org.