Get Ua Clinical Services - Speech, Language, And Hearing Sciences

Welcome to the comprehensive guide on filling out the UA Clinical Services - Speech, Language, And Hearing Sciences form online. This guide is designed to help users efficiently navigate through the application process, ensuring all required information is accurately provided.

Follow the steps to successfully complete your application.

1. To begin, locate and press the 'Get Form' button to access the UA Clinical Services form and load it in your editor.
2. Fill out your full name, ensuring you include your last name, first name, and middle name if applicable. Use legible printing or typing to ensure clarity.
3. Enter your Social Security Number. This information is critical for various reporting purposes.
4. Provide your date of birth in the required format (Month/Day/Year), and indicate your gender by selecting the appropriate option.
5. Complete the residence section with your current address, including number, street, city, state, and ZIP code. If you reside in Ohio, include the county as well.
6. Input your current employment information, including the name of your employer, their address, and contact number. If you are currently unemployed, select the appropriate checkbox.
7. Respond to questions regarding your practice as a speech-language pathologist or audiologist, indicating the nature of your duties performed.
8. Proceed to answer set questions about previous applications and licenses held. Be honest and thorough in your responses.
9. Detail your academic degrees by listing each college or university attended, major, degree obtained, and date conferred.
10. Summarize your previous professional employment experience, ensuring you cite details about your roles and responsibilities.
11. If applicable, provide information related to any arrests or legal issues as prompted, including details and documentation if necessary.
12. Once you have completed all sections of the form, review your answers to ensure accuracy.
13. Finally, save your changes and choose to download, print, or share the completed form as needed.

Complete your UA Clinical Services application online today for efficient processing!