Application For Licenses As An Assisted Living Administrator
List of Required Items to be Submitted to the Board of Examiners
  • Completed, signed, and notarized application
  • Endorsement from Employer form (if applicable)
  • Copy of driver's license or other proof of age
  • Reciprocity Questionnaire (if applicable)
  • Copy of high school diploma, GED, or college
  • Proof of application of U.S. citizenship or Transcript letter of intent (if applicable)
  • Two character reference form letters (These must be mailed directly from the persons completing the letters to the Board of Examiners. Application will not be complete until both letters are received)
  • Accommodation Request Form (if applicable)
  • Proof of required work experience or Board approved internship program application.
  • Copy of facility's State license
  • Commitment to Fulfill Experience Requirement form (if applicable)
  • Classroom Training and Test Dates form with registration dates for Sections A and B of exam and training checked. (Obtain form from http://boeala.alabama.gov/training.aspx )
  • Nonrefundable application fee (Cat. I - $100) (Cat. II - $125)
  • Background Check Release Form
  • Alabama Immigration Law Affidavit Form

ALL forms can be found on http://boeala.alabama.gov/forms.aspx

Mail required documents to:
Alabama Board of Examiners of Assisted Living Administrators
Attn: Executive Director
2740 Zelda Road, Suite 3B
Montgomery, AL 36106

Your application will not be considered complete until all of the exhibits above and required supporting documentation have been received. Your complete application and required documents must be postmarked at least 30 days prior to the Section A testing for which the applicant registers.

An application will expire 90 days from the date approved. After the expiration date, the applicant will be required to resubmit a new application and will be responsible for all applicable fees.
I hereby make application for License as an Assisted Living Administrator in the State of Alabama. Following completion and acceptance of my application, I request to sit for the following assisted living licensure examination.
*   Category I Administrator (to administer Assisted Living Facilities)
  Category II Administrator (to administer Assisted Living Facilities, Specialty Care Assisted Living Facilities, or a combination)
Version 2.0.8