1. (A) Each receipt executed by a temporary permit holder also shall be reviewed, approved and signed by the sponsor prior to the dispensing

of a hearing aid(s). The sponsor, by approving the receipt, accepts full responsbility for its accuracy until the temporary permit holder is licensed as a hearing aid dealer and fitter. (5) No temporary permit holder shall perform any hearing test upon any client, or have other similar contact with any client, without first being trained in the following areas:

1. (A) Air conduction testing, with masking when approriate;
2. (B) Bone conduction testing, with masking when appropriate;
3. (C) Speech reception threshold and word discrimination, utilizing test equipment with a calibrated circuit; and
4. (D) The taking of ear molds.

1. (7) Violations of this rule will be treated as “misconduct” in the practice of fitting and selling hearing aids. I, the undersigned, have read and do fully understand my responsibility as a sponsor, and will fulfill all of the requirements set forth in the rules of the state of Missouri regarding the supervision of temporary permit holders,

‘\ Signature of Sponsor

LICENSE NUMBER Subscribed and sworn to before me, a notary public, this day of - ,19-.

Signature of Notary Public

Print Type or Stamp Name of Notary NOTARY PUBLIC

My Commission expires: STATE OF MISSOURI

Judith K. Moriarty 4CSR160-2-ECONOMIC DEWELDPMENT