Get Application For Reinstatement Of The Certification Of Clinical Competence In Slp - Asha

This guide provides a clear and supportive overview of the process for completing the Application For Reinstatement Of The Certification Of Clinical Competence In Speech-Language Pathology (CCC-SLP) with the American Speech-Language-Hearing Association (ASHA). By following these steps, users will navigate the form with confidence and ensure all necessary information is provided.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to access the application and open it for editing.
2. Begin with the background information section. Fill in your personal details, including your full name, mailing address, and contact information. Ensure all information is accurate and current.
3. In the application category section, select the appropriate option for reinstatement, indicating whether you are applying for the CCC-SLP with ASHA membership or without.
4. Provide examination information confirming whether you have passed the Praxis Series examination in speech-language pathology within the last five years. If not, indicate if you are within one year of becoming 'not currently certified.'
5. Detail your professional development hours. Indicate how many hours you have completed based on how long you have been 'not currently certified.' Attach documentation verifying these hours.
6. Complete the disclosure information section, answering all questions truthfully about past convictions, indictions, or professional misconduct. If applicable, provide additional documentation.
7. In the affidavits section, confirm that all provided information is accurate and agree to abide by ASHA's Code of Ethics. Sign and date the application.
8. Ensure that a current CCC-SLP holder reviews and signs the application for endorsement.
9. Calculate and prepare the reinstatement fee for submission. Review payment options and include the payment with your application.
10. Make copies of all completed documents for your records before mailing the original application to the ASHA National Office.
11. Mail the completed application with all supporting documents and payment to the address provided for ASHA, ensuring you allow appropriate time for processing.

Take the first step towards reinstating your certification by completing the application online today.