Application Information Sheet

In response to your request regarding licensure in speech-language pathology and/or audiology, the following information is provided. Please read this information in its entirety.

PAMPHLET

Kentucky Revised Statutes Chapter 334A and Kentucky Administrative Regulations 201 KAR 17. Every candidate for licensure should become thoroughly knowledgeable with the contents of these laws and regulations.

APPLICATION

For Interim Licensure: Complete the entire application. The back portion of the application must be completed and signed by your supervisor outlining your plan of activities for your post graduate professional experience (PPE). Each question must be completed. See attached sheet for specific directions in completing the PPE portion of the application.

For Permanent Licensure: Complete every item on the application. Questions which are not applicable to your situation should be noted N/A.

EDUCATION

Applications for both Interim and Permanent License shall be accompanied by verification of all education requirements in the form of an original transcript with the seal of the registrar showing a master’s degree or equivalent as defined in KRS Chapter 334A and 201 KAR 17. Transcripts "issued to student" will not be accepted. Said transcripts are to be submitted to the Board within thirty (30) days after the postgraduate professional experience (PPE) is begun.

If you hold an interim license and are now applying for a permanent license and you have already submitted your master level transcript, you are not required to submit a second transcript for a permanent license.

TEST SCORES

• Applicants who hold the ASHA Certificate of Clinical Competence (CCC) need only provide documentation in the form of a copy of their letter or certificate from ASHA verifying the CCC (and need not provide additional documentation of test scores).
• Applicants for licensure must earn a passing score (600) on the Praxis exam in the area(s) in which licensure is being sought (speech-language pathology and/or audiology).
• Test score(s) should be sent directly to the Board office from Praxis.

POSTGRADUATE PROFESSIONAL EXPERIENCE

• Applicants for Interim Licensure are required to complete a plan for the post-graduate professional experience (PPE) within thirty (30) days of beginning the PPE (see side two of application form for Interim Licensure). See attached for specific guidelines and directions for submitting the PPE.
• Applicants for Permanent Licensure who hold the ASHA CCC: Submit required documentation of the CCC in lieu of documentation of completed PPE.
• Applicants for Permanent Licensure who do not hold the ASHA CCC: Submit documentation of completion of the PPE.
• For applicants who hold an Interim License, the supervisor must sign the Application for Permanent License to document that the PPE has been successfully completed.
• For applicants who do not hold an Interim License, submit written evidence from a licensed and/or certified speech-language pathologist or audiologist supervisor of nine months of full-time professional employment pertinent to the license being sought, or the appropriate part-time equivalent as indicated on the application and in the directions for the PPE plan.

LICENSURE FEE

• Attach a check or money order made payable to the Kentucky State Treasurer for the following amount, depending on the type of application (DO NOT SEND CASH):
• Interim License: fifty (50) dollars; this fee is not refundable
• Permanent License: one hundred and fifty (150) dollars; fifty (50) dollars of this amount is your application fee and is not refundable; the additional one hundred (100) dollars is the initial licensure fee for the area of licensure for which you are applying.
• Applicants who currently hold an Interim License: submit only the one hundred (100) dollar fee
• If you are applying for dual licensure the total fee is three hundred (300) dollars; one hundred (100) dollars of this amount is your application fee and is not refundable

Kentucky Board of Speech-Language Pathology and Audiology