What do I need to make certain to do?CCCs At Last!
ASHA Guidelines! Paperwork is ultimately your responsibility.! Follow up. Follow up. Follow up.! Who should you follow up with?! Supervisor! ASHA! Send Return Receipt - trackable mail
ASHA Guidelines• Getting your CF approved! www.asha.org/certification/GettingCFApproved.htm! CFSI - Clinical Fellow Skills Inventory - worksheet forsupervisor (link to pdf)! Must have a 3 or above on the identified core skills inthe final segment.! CF is no less than 36 weeks of Full-time work experience! Supervisor held CCC during the entire CF supervision
ASHA GuidelinesAn Application for Membership and Certiﬁcation must be submitted at this time if youhave not already done so.!!►A separate SLPCF Report and Rating Form must be submitted for each change inmentor, location, or regularly scheduled hours worked per week.!!►All blanks and boxes must be ﬁlled in. Incomplete Report & Rating forms will be returnedand will delay the processing of your application.!!►A full-time SLPCF consists of a minimum of 35 hours worked per week and equals1,260 hours throughout the 36-week SLPCF. The SLPCF must consist of at least 36mentoring activities, including 18 hours of on-site direct client contact observations and18 other monitoring activities.!!►Professional experience of less than 5 hours per week cannot be used to meet theSLPCF requirement.!!►Use black ink only when completing this form. Print all information clearly.!
Alabama State GuidelinesCompletion paperwork to be submitted within30 days of the completion of theSupervised Professional Experience• Licensure Fee $75• * Mail Return receipt or Certified Mail*• 1. Undergraduate and graduate transcripts• 2. Results of the national examination (see below).• 3. A notarized statement from the supervisor indicating that theProfessional Experience (CFY) has been completed.! Number of hours per week worked! Place of employment! Supervisors name! AL license number or CCC or its equivalent.• 4. A letter from the director of training program verifying that Ihave completed the required hours of direct clinical experiencewith individuals with communication• disorders.
Alabama State GuidelinesCompleon paperwork to be submi3ed within 30 days of the compleon of the Supervised Professional Experience • Licensure Fee $75 • Common Omissions when SubmiGng the Licensure Applicaon Form: • * A le3er from the director of the educaonal program verifying that requirements prior to supervised clinical experience have been completed. • * Notarized le3er from CFY or 4th Year Internship Supervisor containing: number of hours per week worked, place of employment, supervisors name & AL license number or CCC or its equivalent. • * Undergraduate and Graduate Transcripts. • Another common misunderstanding is that there are TWO SEPARATE FEES: an applicaon fee (which is $200), and a licensure fee (which is $75). The applicaon fee is due with the applicaon. The licensure fee may be paid at that same me or paid once the applicaon is approved for licensure. • * Mail Return receipt or Cerﬁed Mail*
FloridaState Guidelines1. Complete the Conﬁdential and Exempt From !Public Records Disclosure Form!!2. Attach a recent 2x2 color photo (above shoulders )!!3. Sign and date application!!4. $280 Fee (check/money order for application, !licensure and unlicensed activity fees )!!5. Proof of 1-hour HIV/AIDS course !(free on www.SpeechPathology.com or offered by !any healthcare profession ) CODE: COBB13!!6. Proof of 2-hours prevention of medical errors course (free on !www.SpeechPathology.com from an approved !Board of Speech-Language Pathology!and Audiology continuing education provider )!!7. SPA-2B Supervisory Evaluation for every 3 months (need 3 forms)!!8. SPA -2C Supervisory Report (summary)!
Georgia State GuidelinesAll documentation must be sent to theGeorgia Licensing Board within14 days of completion of the PCE.• www.sos.georgia.gov• Final Procedure once PCE is complete:1. Fill out completion of PCE with Supervisor2. Fill out permanent license application3. Attach check to the top of application by examination4. Send check made out to Georgia State Board of Speech-LanguagePathology/Audiology for $1105. Mail Return receipt or Certified Mail.• Completion application form: http://sos.georgia.gov/acrobat/PLB/10%20Documentation%20for%20Completion%20of%20Paid%20Clinical%20Experience.pdf
South CarolinaState Guidelines! www.llr.state.sc.us! Report of CompletedInternship! Application for License*Notarized*! Fee $220! Proof of Identity - PhotoID, Driver s license
MarylandState Guidelineshttp://dhmh.maryland.gov/boardsahs/SitePages/Home.aspxINSTRUCTIONS FOR APPLYING FOR A FULL LICENSE:1. Website above click on Professionals Licensing Information Speech-Language Pathology License Forms Link download Speech-LanguagePathology Application For Full Licensure.2. Have completed application notarized.3. Submit Form AS2 Verification of Supervision for Limited Licensure ClinicalFellowship Year for each place of employment during the period of limited licensure.4. Submit Form AS3 Verification of Satisfactory Completion of Clinical FellowshipYear.5. If you currently have or have ever been licensed in any other state, complete FormAS4. Request the State licensure Board of that state to return the completed form tothe Maryland Board office.6. Submit $150.00 fee (make check or money order payable to Board of SLP).7. Submit a recent 2x2 passport size photo8. Completed Law Exam (see # 7 under Instructions For Applying For a LimitedLicense)9. Transcripts, Undergraduate Transcript, Clinical Fellowship Year Plan (Form AS2),Clinical Fellowship Year Verification (Form AS3), and Praxis Exam Scores.
Virginia State Guidelines• Already have apermanent license!• Congratulations!
Summer Thoughts...! Organize materials! Build Language Units! Surf Therapy Websites to become familiar! Build Therapy on a Dime materials! Organize any computer files so they are easilyfound during the year.