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This form is used to verify the coursework and clinical experience of applicants seeking a license as an intern in speech-language pathology.
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How to fill out coursework and clinical experience

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How to fill out Coursework and Clinical Experience Form for Speech-Language Pathology Intern

01
Gather all relevant academic transcripts and course descriptions.
02
Identify all coursework related to speech-language pathology, including completed courses, ongoing courses, and any relevant electives.
03
List clinical experiences, including internships and practicum hours, along with the settings where the experience took place.
04
Include the names and contact information for supervisors or faculty overseeing your clinical experiences.
05
Fill out the form systematically, ensuring that all required sections are complete and accurate.
06
Double-check your entries for clarity and correctness before submission.

Who needs Coursework and Clinical Experience Form for Speech-Language Pathology Intern?

01
Students pursuing a degree in speech-language pathology who are applying for internships.
02
Universities or institutions requiring documentation of coursework and clinical experience for graduation or certification.
03
Supervisors or program coordinators involved in reviewing or approving internship applications.
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People Also Ask about

ASHA specifically requires students to complete a minimum total of 400 hours of supervised clinical experiences in order to qualify for the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) and work as a clinical SLP.
Duration of the CF Experience As a Clinical Fellow, you must work at least 36 weeks and 1,260 hours to meet the ASHA CF experience requirement. In addition, you must work at least 5 hours per week to be able to count the hours/week toward the minimum requirement.
SLP programs require you to complete 25 guided observation hours with an ASHA-certified SLP. Log these hours to ensure you meet your SLP grad school requirements.
Becoming a speech language pathologist (SLP) requires earning a master's degree in communication sciences and disorders (CSD) and meeting the requirements for professional licensure.
To earn CCC-SLP certification, candidates must graduate from an accredited program, pass an exam, and complete a fellowship under the supervision of a certified speech-language pathologist.
Yes it is competitive. My grad program had over 200 applicants for 40 spots. Typically the acceptance rate is about 10%.

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The Coursework and Clinical Experience Form for Speech-Language Pathology Intern is a document used to verify and document the educational coursework and clinical experiences of interns in the field of speech-language pathology.
Individuals who are pursuing or have completed an internship in speech-language pathology are required to file the Coursework and Clinical Experience Form.
To fill out the form, interns must gather their coursework details, clinical experience data, and ensure that all required fields are completed accurately, including signatures from supervisors and educational institutions.
The purpose of the form is to ensure that interns meet the educational and clinical competency requirements established by licensing boards for practice in speech-language pathology.
The information reported must include the courses taken, credit hours completed, clinical clock hours, types of clinical experiences, and the names and signatures of supervising professionals.
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