Section 5 - Application for Certification in Adolescent and Young Adult Psychiatry

a. Please complete all information fields. Each item in the application must bear an entry; if “none” is applicable, so state. Upload extra sheets for additional data or information; identify the material being furnished and show your name and email address on each uploaded document. Read instructions carefully. If the application is not completed properly, you will be notified and asked to resubmit a completed application.

b. Upload a passport style photograph of yourself, taken within the last two months, signed on the front with a ball-point pen. Photos must be at least 2x2 inches in size, full face, with no hats or scarves to be worn.

c. Submit via the ASAP Website a one-time non-refundable registration fee of $450. All payments are now made electronically. You may use your credit card online via our secure Wix payments platform. Otherwise, you may pay electronically using PayPal. Do not send checks, cash or stamps. All currency must be in US dollars or its equivalent. (Upon admittance to candidacy, the examination fee of $750 will be payable.),

d. Copies of the following documents must be uploaded with this application:

1. Medical school diploma or official statement of valid MD degree from medical school.

2. Current state registration to practice medicine in one state, province or territory.

3. Certificate from the American Board of Psychiatry and Neurology, AOA, NBPS, or RCPCP

e. Reference letters are not required to accompany the submission of the application but must be received at the administrative offices within thirty (30) days of the date of your application. However, if you have reference letters available, please upload them with this application.