This form should only be used if the SLP-Assistant has never been registered or if the SLP-Assistant is not currently registered under another licensed SLP. If the SLP-Assistant is adding an additional primary or secondary supervisor or is changing from one supervisor to another, you should complete the SLP-Assistant Supervision Change form below.
Register NowThis checklist should be completed and submitted to the board within 90 days of SLP-Assistant registration.
Complete Now