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VERIFICATION OF COMPLETED SUPERVISED PRACTICUM (Spas) BOARD OF EXAMINERS FOR SPEECHLANGUAGE PATHOLOGY 810 North Main #298 Spearfish, SD 57783 (605) 6421600Please Type or Print in Blue or Black Ink Applicants
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How to fill out verification-of-completed-supervised-practicum-form

01
Obtain the verification-of-completed-supervised-practicum-form from your supervisor or academic advisor.
02
Fill out your personal information such as name, student ID, program of study, and contact information.
03
Provide details about the supervised practicum you completed, including the dates, hours completed, and tasks performed.
04
Have your supervisor sign and date the form to verify the accuracy of the information provided.
05
Submit the completed form to the appropriate department or organization as required.

Who needs verification-of-completed-supervised-practicum-form?

01
Students who have completed a supervised practicum as part of their academic program.
02
Organizations or institutions that require proof of completion of a supervised practicum for accreditation or certification purposes.
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The verification-of-completed-supervised-practicum-form is a document used to confirm that a candidate has successfully completed the required supervised practicum hours as part of their professional training.
Individuals who have completed their supervised practicum as part of their educational program and are seeking licensure or certification in their respective field are required to file this form.
To fill out the verification-of-completed-supervised-practicum-form, candidates must provide their personal information, details of the practicum including dates and hours completed, and any required signatures from supervisors or educational institutions.
The purpose of the verification-of-completed-supervised-practicum-form is to verify that the candidate has met the necessary practicum requirements before being eligible for licensure or certification.
The form must report the candidate's personal information, details of the practicum including the name of the supervising professional, total hours completed, types of activities performed, and the duration of the practicum.
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