RST Exam Application

Personal Information (Required)

First Name*

Middle

Last Name*

Gender

Male
Female

Date of Birth*

Primary Phone*

Email*

Eligibility Status

Basic Cardiac Life Support Certified*

I am currently certified for Basic Cardiac Life Support

Basic Cardiac Life Support Certification*

(All candidates must be certified - attach a copy of unexpired card below)

Eligibility Pathways

Choose one of the following eligibility pathways below.

Pathway*

Certificate or Associate's Degree Program (Pathway A)
A-STEP Program (Pathway B)
Other Health Professional (Pathway C)
RPSGT Credential (Pathway D)
On-the-Job Training in an AASM-Accredited Sleep Facility (Pathway E)

Pathway A Attachments

Certificate or Associate's Degree Program (Pathway A)*

Choose ONE of the following and attach copy of certificate below.

CoA PSG Program
CoA END with PSG Add-on Program
CoARC with PSG Add-on Program

Certificate or Associate's Degree Program*

Attach a copy of a CoA PSG Program, CoA END with PSG Add-on Program, or CoARC with PSG Add-on Program certificate.

Pathway B Attachments

Evidence of highest level of education achieved*

High school diploma or degree certificate

80-hour Didactic Accredited Sleep Technology Education Program (A-STEP) Introductory Program*

Successful completion of the 80-hour didactic Accredited Sleep Technology Education Program (A-STEP) Introductory Program

Completion of the full series of online A-STEP Modules*

Successful completion of the full series of online A-STEP modules

Completion of 50 overnight sleep studies*

Successful completion of 50 overnight sleep studies including 20 with continuous positive airway pressure and at least one MSLT within the last 6 months to 3 years (with written verification by a Board Certified Sleep Specialist or Medical Director of an AASM-accredited Sleep Disorders Center). Please use the Verification of Clinical Experience form.

Completion of the inter-scorer reliability requirement*

Successful completion of the ABSM sleep scoring proficiency examination (attach certificate) or by meeting threshold in the inter-scorer reliability program of an AASM-accredited sleep disorders center for a minimum of 3 months. Use the Verification of Clinical Experience form if you do not have a certificate.

Pathway C Attachments

Health Professional Credential*

Please enter your health professional credential below : (acceptable credentials are MD, DO, PhD, PsyD, PA, NP, RN, LPN, CRT, RRT, R.EEG T., R.EP T, or EMT-P)

Credential Certificate*

Certificate must include current dates

Completion of 25 overnight sleep studies*

Successful completion of 25 overnight sleep studies including 10 with continuous positive airway pressure and at least one MSLT within the last 3 months to 2 years (with verification by a Board Certified Sleep Specialist or Medical Director of an AASM-accredited Sleep Disorders Center). Please use the Verification of Clinical Experience form.

Completion of the inter-scorer reliability requirement*

Successful completion of the ABSM sleep scoring proficiency examination (attach certificate) or by meeting threshold in the inter-scorer reliability program of an AASM-accredited sleep disorders center for a minimum of 3 months. Use the Verification of Clinical Experience form if you do not have a certificate.

Pathway D Attachments

Evidence of highest level of education achieved*

High school diploma or degree certificate

RPSGT Credential*

Pathway E Attachments

Evidence of highest level of education achieved*

High school diploma or degree certificate

Completion of the full series of online A-STEP Modules*

Successful completion of the full series of online A-STEP modules

Completion of the inter-scorer reliability requirement*

Successful completion of the ABSM sleep scoring proficiency examination (attach certificate) or by meeting threshold in the inter-scorer reliability program of an AASM-accredited sleep disorders center for a minimum of 3 months. Use the Verification of Clinical Experience form if you do not have a certificate.

Employment in an AASM-accredited sleep facility for at least one year*

Employment in an AASM-accredited sleep facility for at least one year (with written certification by a Board Certified Sleep Specialist or Medical Director of an AASM-accredited Sleep Disorders Facility). Knowledge of topics covered in the 80-hour Didactic Accredited Sleep Technology Education Program (A-STEP) Introductory Program Please use the Verification of Clinical Experience form.

Attestation

*

By typing your full name below, you hereby declare the following: That I have read and will adhere to the Examination Handbook. That all information contained in this application and all documentation submitted with or in support of the application is true. I understand and agree that any misrepresentation of said facts will results in automatic disqualification to sit for the examination or revocation of the certification obtained.

Method of Payment

Examination Fee*

Price: $250.00

Total

$0.00

Billing Address*

This address must be associated with your credit card.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name