License/Certification Information - Texas State & ASHA To begin your Clinical Fellowship Year in Texas (Intern License) * NOTE: You are not licensed through ASHA for the intern/CF year. You are licensed at the state level. What is the form? Link? Who fills it out? When is it due? Intern in Speech-Language Pathology Application Form: your application to begin work as a CF with a state SLP intern license Click Here. Each of the state forms is listed on this site. https://www.dshs.state.tx.us/speech/sp_forms.shtm Please note: you will be required to pass the Texas Jurisprudence exam as well as have DPS/FBI fingerprinting completed. Information on this process is included on page one of the application form. YOU! BEFORE you begin working as a CF. Intern Plan & Agreement of Supervision Form: states who your CF supervisor will be and where you will be working If you change or have multiple settings/supervisors, submit an agreement form for each site/supervisor. You and your CF supervisor Position Statement for Supervising Licensed Interns in Speech-Language Pathology: provides guidance and regulatory information for your CF supervisor It is information for your supervisor only. NA You and the Lamar SPHS department chair. BEFORE you begin working as a CF. You only need this if your official transcripts are not yet available when you apply. Speech-Language Pathology Coursework and Clinical Experience Form: filled out when you apply, if your degree has not yet been officially conferred. See the next chart for information on forms that must be filled out before and during the CF/intern year for your future CCC applications to the state and ASHA. If you are completing your CF in another state, please review the requirements for that state’s licensing board. Links to those state licensing organizations can be found at http://www.asha.org/advocacy/state/ Additional tips and information on your CFY can be found at http://www.asha.org/certification/CFinformation.htm and http://www.asha.org/Certification/Clinical-Fellowship.htm

To obtain your Certificate of Clinical Competence License/Certification Information - Texas State & ASHA To obtain your Certificate of Clinical Competence What is the form? Link? Who fills it out? When is it due? Application for the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP): your application for ASHA clinical certification Click Here. Informtion and links to current applications are found at this site. http://www.asha.org/certification/SLPCertification/ YOU! *Page 4 must be filled out by your Lamar Program Director/Department Chair. It is easiest to have this completed once you have passed your comprehensive exams and before graduation. After your CF year. When you apply for ASHA CCC. Your CF supervisor DURING the CF year Speech Language Pathology Clinical Fellowship Report: an assessment of your clinical skill development throughout your CFY Clinical Fellowship Skills Inventory: provides guidance for your CF supervisor on how to assess your skills for the CFY report. http://www.asha.org/uploadedFiles/CFSISLP.pdf It is information for your supervisor only. NA NOTE: In addition to the application for CCC, and the CF report, ASHA must receive your official graduate transcript, and passing Praxis scores directly from ETS. See the next chart for information on obtaining your Texas state SLP license.

To obtain Texas State License as an SLP License/Certification Information - Texas State & ASHA To obtain Texas State License as an SLP What is the form? Link? Who fills it out? When is it due? Intern Speech-Language Pathology Upgrade to Speech-Language Pathology License Application Form: application to upgrade from an intern to a licensed SLP Click Here. Each of the state forms is listed on this site. https://www.dshs.state.tx.us/speech/sp_forms.shtm This application also requires submission of official transcripts, and a copy of passing Praxis scores. YOU! After completing your CF/intern year and passing the Praxis. Report of Completed Speech-Language Pathology Internship Form: contains CF dates and signatures verifying that CF is complete You and your CF supervisor. NOTE: You MUST have obtained your ASHA certificate of clinical competence in order to upgrade your state license from intern to SLP. Congratulations! You have studied and worked hard. We at Lamar will miss having you in clinic and in classes, but we wish you all the best in your future career as a speech-language pathologist!