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Board of Audiology and Speech-Language Pathology
Applications & Forms

The below documents are in PDF format. To view PDF files you'll need the free Adobe Acrobat Reader.

Audiology Applicants Only

ASHA (American Speech-Language-Hearing Association) or ABA (American Board of Audiology)

Checklist and Application for License to Practice Audiology - Applicants by ASHA or ABA

Audiology Provisional License

Checklist and Appliction for Provisional License to Practice Audiology

Audiology Provisional License to Full Audiology License

Checklist and Application to Change from a Provisional to Full Audiologist License

Audiology License by Endorsement

Checklist and Application for License to Practice Audiology by Endorsement

Audiology Provisional by Endorsement

Checklist and Application for Audiology Provisional License by Endorsement

 

Speech-Language Pathology Applicants Only

Education

Checklist and Application for a License to Practice Speech-Language Pathology by Education

ASHA (American Speech-Language-Hearing Association)

Checklist and Application for a License to Practice Speech-Language Pathology by ASHA Certification

School Speech-Language Pathology

Checklist and Application for Licensure as a School Speech-Language Pathologist

Speech-Language Pathology by Endorsement

Checklist and Application for License to Practice Speech-Language Pathology by Endorsement

 

Reinstatement Forms

Checklist and Reinstatement Application for License to Practice as an Audiologist, Speech-Language Pathologist, or School Speech-Language Pathologist

Checklist and Reinstatement Application for Inactive to Active License

 

Continuing Competency Forms

Continuing Education Activity and Assessment Form

Application for Approval as a Continuing Education Sponsor

 

Verification

Licensure Verification Form