Applications & Forms
Online Electronic Applications
You may apply for licensure through our electronic application system. This electronic application will allow you to upload the required documentation and make payment via credit card or electronic check. Print the supplemental forms and instructions from the applicable links below. This electronic application is only available for first-time applicants.
- Download Forms and Instructions needed for electronic application
Choose the type of licensure you are applying for and download the supplemental forms and instructions: - Speech-Language Pathology or Audiology Intern Electronic Application Packet
- Request to Upgrade to a Permanent Speech-Language Pathologist or Audiologist License Package
- Speech-Language Pathology or Audiology Electronic Application Packet
- Speech-Language Pathology Assistant Electronic Application Packet
- Once you have downloaded the above application packet, click here to apply online.
Other Forms
License Verification Request
Licensee List Request
Name Change and Address Request Form
Paper Applications
Speech-Language Pathologist or Audiologist
- Application Instructions and Addenda
- Reinstatement Application
- Reactivation from Inactive Application
Speech-Language Pathology and Audiology Intern
- Clinical Clock Hours Report
- Supervisory Agreement/Intern Plan for Supervised Professional Employment (SPE)
- Report of Completed Internship
Speech-Language Pathology Assistant
- Clinical Clock Hours Report-OJT/Work Program
- Clinical Clock Hours Report-Academic Program
- Application Instructions and Practice Information
- Supervisory Agreement & OJT Training Agreement
- Quarterly Review Form
- SCER Registrant Forms -(Applicants requesting to complete 100 Clinical Hrs through Board-Approved Plan)