EDUCATOR LICENSING:
SPEECH LANGUAGE PATHOLOGISTS (SLP) & AUDIOLOGISTS
(Updated 11/14/12)

New requirements for licensure of speech language pathologists and audiologists went into effect on October 1, 2004. At that time, the Agency of Education's Office of Licensing and Professional Standards began to issue these new licenses.

Information on Applying for Vermont Licensure as an Audiologist or Speech Language PathologistPDF
This document provides information on the speech language pathologist and audiologist licenses including who must acquire these new licenses and the processes for doing so. Information is also provided about how to convert from an educator license to a clinical license. Applications and forms are provided below:

• Application InstructionsPDF
• Application FormsPDF
  This document now contains an optional business address release form.

The following instructions and forms are offered as PDF files. PDF forms must be downloaded to your computer, printed and then completed either by hand or on a typewriter:

• SLP/Audiologist License Renewal InstructionsPDF
  This document provides information on how to renew an SLP/Audiologist license.

• SLP/Audiologist License Renewal Form
  This form is NOT AVAILABLE FOR DOWNLOAD. You must return the original form that you received in the mail. Do not send a copy!

• New Disclosure FormPDF
  All the questions MUST be answered. Please print your name and social security number on the top of the form; sign and date the form at the bottom.

• Mandatory "Good Standing" Declarations FormPDF
  All four sections of this form dealing with child support, taxes, unemployment compensation and district court/judicial bureau fines must be completed.

• Return ReceiptPDF
  Complete this form to receive verification of receipt of your renewal application packet by the department.

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