Please review the checklist and make sure you have completed all documents required for licensure. 

Checklist for Audiology

         Audiology Forms

•  Full Licensure
• Assistant
• Background Search

Please review the checklist and make sure you have completed all documents required for licensure. 

 Checklist for Speech-Language Pathology

        Speech-Language Pathology Application Forms

• Full Licensure-Completed ASHA Cs
• Full Licensure-Completed Clinical Experience Year
• Full Licensure-Licensure in Another State
• Clinical Experience Year
• Assistant

Speech-Language/Audiology Renewal Form

If you have chosen not to renew your license on-line you will need to print this 

2011Renewal Form

General Forms

• Academic Preparation and Practicum Verification Form SLP
• CEY Letters of Agreement
• CEY Plan
• Complaint Form
• Continuing Education Form and list of approved CE activities
• Letter of Agreement for the Supervised Practice Form
• Reference Form
• Report of Clinical Experience
• Verification of Citizenship Affidavit
• Verifying Qualified Alien Status Affidavit
• Non-Accredited Institution Practicum Form
• Academic Preparation Form Fundamental Area
• Background Search