Get How To Fill Out As2 Form Maryland Slp Limited Iicense

Filling out the How To Fill Out As2 Form for a Maryland Speech-Language Pathologist Limited License can seem daunting. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online, ensuring that all necessary components are included.

Follow the steps to fill out the AS2 Form for limited licensure.

1. Press the ‘Get Form’ button to access the application form, and open it in your browser.
2. Begin by filling out your name in the designated fields for last, first, and middle/maiden names.
3. Provide your complete home address, ensuring the street, city, state, and zip code fields are accurately filled.
4. Enter your home phone number, alternate phone number, and email address in the respective sections.
5. Fill in your date of birth and social security number in the provided fields.
6. Indicate whether you have been previously licensed in Maryland and, if applicable, include the license number and date of expiration.
7. Respond to the question regarding felony or misdemeanor convictions with full details if necessary.
8. For education, input your graduate school details including institution name, address, dates attended, major, and degree conferred.
9. If applicable, check the section for the Department Chair letter if you are providing that in lieu of an official transcript.
10. Complete the employment information section for your Clinical Fellowship Year, providing the facility name, address, position title, and a brief description of duties.
11. Ensure that the affidavit section is duly filled, signed by both you and a notary public.
12. Collect all supporting documents required, including fees, passport photo, transcripts, and exam score reports.
13. Review your completed form for accuracy and completeness. Once confirmed, you may download, print, or share the form as needed.

Complete your AS2 Form online to take the next step toward your licensure as a Speech-Language Pathologist.