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		EDUCATOR LICENSING: SPEECH LANGUAGE PATHOLOGISTS (SLP) & AUDIOLOGISTS (Updated 1/3/12)     New requirements for licensure of speech language pathologists and audiologists went into effect on October 1, 2004. At that time, the Department of Education's Office of Licensing and Professional Standards began to issue these new licenses.     APPLICATION PROCESS       Information on Applying for Vermont Licensure as an Audiologist or Speech Language Pathologist PDF 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 Instructions PDF Application Forms PDF This document now contains an optional business address release form.       Notification of Name/Address Change PDF Please use this form to notify the licensing office if your name or address has changed.     RENEWAL INSTRUCTIONS & FORMS       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 Instructions PDF 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 Form PDF 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 Form PDF All four sections of this form dealing with child support, taxes, unemployment compensation and district court/judicial bureau fines must be completed. Return Receipt PDF Complete this form to receive verification of receipt of your renewal application packet by the department.     ADDITIONAL RESOURCES       Educational Speech Language Pathologist Endorsement Competencies PDF View the authorization statement and competency requirements for the Educational Speech Language Pathologist endorsement.       Complaints Concerning Speech Language Pathologists and Audiologists The Secretary of State's office will be investigating complaints concerning speech language pathologists and audiologists. If you wish to lodge a complaint regarding the credentials or practices of any speech language pathologist or audiologist, go to the Vermont Secretary of State's Office of Professional Regulation Web page  OSL and click on "Complaint Form."     FOR ADDITIONAL INFORMATION . . .       For more information about speech language pathologist and audiologist licenses, contact the licensing office.             Contact Us | Application Forms Temporary Licenses | Educator Testing Alternate Licensing | Regulations & Endorsements Approved Educator Preparation Programs HQT Requirements | SLP Licensure National Board Certified Teacher (NBCT) Disciplinary Actions Educator Licensing Educator Licensing | Professional Standards | Professional Development PDF files require the use of Adobe Acrobat Reader. To download a free version of Adobe Acrobat Reader, click on the icon below. View Acrobat tips and information.
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