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Audiology Reinstatement Application - ASHA
https://www.asha.org/siteassets/uploadedFiles/Audiology-Reinstatement-Application.pdf
ASHA CCC-A Reinstatement Application Revised 9/2019 APPLICATION FOR REINSTATEMENT OF THE CERTIFICATE OF CLINICAL COMPETENCE IN AUDIOLOGY (CCC-A) Policies and Procedures for individuals seeking reinstatement of the CCC-A who are considered “Not Current” after their ASHA certification has expired, or has been revoked*, resigned, or retired:
APPLICATION FOR REINSTATEMENT TO PRACTICE …
https://dhhs.ne.gov/licensure/Documents/SLPAReinstatementApp.pdf
Reinstatement Application Fee: The Audiology/Speech-Language Pathology Assistant reinstatement fee is . $95. Please make your check payable to the . Licensure Unit. All licenses expire one year from date of issuance. SECTION B – Conviction and Licensure Information (all applicants must complete this section) Failure to disclose any
Audiology Reinstatement w/lolly changes
https://www.njconsumeraffairs.gov/aud/Applications/Application-for-Reinstatement-of-a-License.pdf
Audiology and Speech-Language Pathology Advisory Committee 124 Halsey Street, 6th Floor, P.O. Box 45002 Newark, New Jersey 07101 (973) 504-6390 Application for Reinstatement of a License You may not practice in the State of New Jersey until your license or certificate has been reinstated.
Office of Audiology Licensure: Applications and Forms ...
https://dpo.colorado.gov/Audiology/Applications
Audiology (AUD) Applications. Audiologist - License by Original Method or Endorsement (Apply Online) Audiologist - Online Application Checklist. Audiologist - Reinstate Expired License (Apply Online) Audiologist - Online Reinstatement Application Checklist. Communication from the Division: The Division of Professions and Occupations' primary ...
Application for Reinstatement - Kentucky
https://slp.ky.gov/Documents/ApplicationforReinstatement.pdf
APPLICATION FOR REINSTATEMENT [ ] Speech-Language Pathology (Complete front of application only) [ ] Audiology (Complete front of application only) [ ] Speech-Language Pathology Assistant (Complete front and back of application) Please type or …
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