Get Speech-language Pathologists Application For Licensure - Mass.gov - Mass

Filling out the Speech-Language Pathologists Application for Licensure is an essential step in pursuing your career as a speech-language pathologist in Massachusetts. This guide will provide clear, step-by-step instructions on how to navigate the application process effectively.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to obtain the application form and open it in your preferred digital editor.
2. Fill in your personal details in the designated fields. This includes your full name, mailing address, and contact information. Be aware that the mailing address is public information. You may choose to use a business address instead.
3. Indicate whether you hold a current ASHA certification. If applicable, ensure to include your ASHA certification number and expiration date.
4. List any other professional licenses or certifications you may hold in the United States or foreign jurisdictions, including their expiration dates.
5. Provide detailed explanations for any affirmative responses regarding disciplinary actions or criminal history. Include relevant dates and jurisdictions.
6. Ensure you have your official school transcript and documentation of clinical hours ready for submission. These should be sealed by your educational institution.
7. Calculate and include the fee of $68.00 payable to the Commonwealth of Massachusetts. Prepare the payment in the form of a check or money order.
8. Sign and date the application in the presence of a notary public. Ensure that both pages requiring notarization are completed.
9. Once you have completed all sections and gathered necessary documents, review your application for accuracy, then save your changes.
10. Submit the complete application package by mail to the Board of Speech-Language Pathology & Audiology at the specified address.

Start filling out your application online today to advance your career in speech-language pathology!