Get Az Adhs Speech-language Pathologist Assistant Initial Application 2020-2025

This guide provides clear, step-by-step instructions on completing the Arizona Department of Health Services Speech-Language Pathologist Assistant Initial Application online. Ensuring accuracy in your application will help facilitate the licensing process.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application form and open it for editing.
2. Begin by filling in your legal first, middle, and last name as they appear on your identification documents. Ensure this information matches the provided evidence of U.S. citizenship or authorized presence.
3. Enter any previous Arizona license number, if applicable. This helps to establish your licensing history.
4. Complete the application checklist ensuring all fields are filled. Missing information will cause delays in processing.
5. Provide a completed and signed Statement of Citizenship or Alien Status form as required. Make sure to attach the necessary citizenship documentation.
6. Submit your educational information, including the name and address of the institution where you obtained your degree, along with your graduation date.
7. Fill in your employment information, listing your current or most recent employer, including contact information.
8. Complete the criminal history section accurately, disclosing any felony or misdemeanor convictions and providing relevant court documentation if necessary.
9. Sign the applicant attestation, affirming that all provided information is true and complete.
10. Finalize your application by reviewing all entries for accuracy, saving any changes, and preparing to submit your completed form and applicable fees.

Start filling out your application online today to ensure a smooth licensure process.