| Form |
Format |
Description |
Last Updated |
| Application for Licensure |
PDF
|
Licensure application for Speech-Language Pathologists, Audiologists, Dual, and conditional applicants. |
7/31/08 |
| Conditional License Renewal / Upgrade to Regular Licensure |
PDF |
Form to renew conditional licensure after initial year or to upgrade to a regular license |
7/6/07 |
| Application for Speech-Language Pathology Assistant Certificate |
PDF |
Certification application for Speech-Language Pathology Assistants. |
4/22/08 |
| SLPA Competency Checklist |
PDF |
Competency Checklist for 100 hours of required clinical interaction |
4/22/08 |
Application for Permit
to Supervise SLPAs |
PDF |
For TSPC-Licensed Speech-Language Pathologists working in public schools |
4/22/08 |
| Report of Supervisor for SLPA supervision |
PDF |
For SLPAs who were unable to report supervision information when they applied. |
4/22/08 |
| Notification of change in SLPA supervision. |
PDF |
Form to notify the Board of a change in supervisors for a speech-language pathology assistant. |
4/22/08 |
| Ethnic and Bilingual Survey Form |
PDF |
Senate Bill 786 Voluntary Survey for applicants and licensees. |
8/20/02 |
| Professional Development Group Activity Special Approval |
PDF |
Application for special approval of a group of activities. |
7/15/08 |
| Professional Development Activity Special Approval |
PDF |
Application for special approval of a professional development activity. |
7/15/08 |
| Professional Development Report Form |
PDF |
Form for reporting completed professional development to the board. |
8/5/08 |
