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Required Professional Experience Packet

(US GRADUATES)

THE FOLLOWING ITEMS MUST BE SUBMITTED AND APPROVED BY THE BOARD PRIOR TO BEGINNING THE RPE.

• Application for Temporary Required Professional Experience Licensure
• $35 registration fee (payable to S.L.P.A.B.)
• RPE Temporary License Acknowledgement Statement (signature page only)
• Page 2 of the Live Scan form completed by the live scan operator. (We do not accept fingerprints for other agencies. We must be the contributing agency).
  (Fingerprints must be cleared through Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI) before temporary license may be issued)

THE REMAINING ITEMS LISTED BELOW SHOULD BE SUBMITTED WITHIN THE FIRST 90 DAYS OF BEGINNING THE RPE. LATE SUBMISSION MAY RESULT IN A DELAY IN ISSUING THE PERMANENT LICENSE AND MAY REQUIRE YOU TO CEASE PRACTICE UNTIL THE PERMANENT LICENSE HAS BEEN ISSUED:

• Application for Licensure
• $25 initial license fee (payable to S.L.P.A.B.)
• "Official" graduate and undergraduate transcripts (sent directly from the university)
• Copy of Master's Degree
• Report of Clinical Practicum (on our form and must be mailed directly from the University to our office)
  
  • Speech-Language Pathology
  • Audiology
• NTE scores in the field for which licensure is sought, with a passing score of 600 or higher sent directly from the examination service to the Board office.
• School calendar for each school year. (if working in a public school setting)
• Upon completion of your RPE, the Required Professional Experience Verification form must be completed and submitted within 10 working days. If you are working in a public school you will be required to submit a separate verification form for each school year. You must also provide a calendar for each school year. If you work during the summer you will be required to submit a separate verification form for the summer session. You will also be required to provide a letter from the school district that defines the dates and hours of the actual summer school session.

ADDITIONAL DOCUMENTS AND INFORMATION:

• Excerpts of the Laws and Regulations Pertaining to the RPE
• Supervisor Responsibility Statement (for reporting a change in supervisor)
• Required Professional Experience Performance Review Form This form is not mandatory, but rather a tool that supervisors may use in order to accurately and timely document the performance of their RPE's.
  Please retain original form. The Board may request documentation to support the final determination of a RPE's performance should there be an unsatisfactory rating.

WE REQUIRE ORIGINAL SIGNATURES ON ALL FORMS AND APPLICATIONS. IF YOU REQUIRE VERIFICATION THAT A DOCUMENT HAS BEEN RECEIVED YOU SHOULD USE CERTIFIED MAIL, AND REQUEST A SIGNED RECEIPT.