1. (a)

   1. (1) To register as an SLPA under Arkansas Code § 17-100-202(b)(2), an individual shall submit an application for registration to the Board of Examiners in Speech-Language Pathology and Audiology.

   2. (2)

      1. (A) An individual shall register with the Division of Elementary and Secondary Education if that individual intends to perform the duties of an SLPA in a public agency that provides educational services to children with disabilities from birth to twenty-one (21) years of age under the general supervision of the division.
      2. (B) Subsections (b) – (d) of this section shall not apply to those individuals.

2. (b)

   1. (1)

      1. (A) This application must be approved before employment of the SLPA can begin.
      2. (B) At no time may an SLPA work without both:

3. (i) A current approved registration; and

   1. (ii) An approved supervisor.
   2. (2) The board application shall be completed by both the prospective SLP supervisor and the prospective SLPA.

   3. (3) The prospective SLP supervisor and the prospective SLPA must attend an initial training session prior to registration approval.

      1. (c) The following must be submitted in the registration process:

   4. (1) An application obtained from the board office, which shall contain:

      1. (A) Specific information regarding:

         1. (i) Personal data;
         2. (ii) Employment and nature of professional practice;
         3. (iii) Social Security number;
         4. (iv) Other state licenses and certifications held;
         5. (v) Disciplinary proceedings; and
         6. (vi) Felony and misdemeanor convictions;
      2. (B) Educational background including an original or certified copy of a transcript or transcripts showing evidence of a bachelor’s degree in speech-language pathology or required academic training as specified in 17 CAR § 180-1310(a)(2);

      3. (C) A statement that the applicant for SLPA and supervising speech-language pathologist:

         1. (i) Have read Arkansas Code §§ 17-100-103 and 17-100-104 and this part; and
         2. (ii) Agree to abide by them;
      4. (D) A statement that the applicant understands that fees submitted in the registration process are nonrefundable; and
      5. (E) The dated signature of the applicant; and

   5. (2) A supervisory responsibility statement form obtained from the board office that contains:

      1. (A) The name, address, employer, area of licensure, and license number of the supervisor;
      2. (B) The employment history substantiating at least two (2) years of clinical experience, after completion of the clinical fellowship experience, of the supervising speech- language pathologist;
      3. (C) A statement that the supervisor is responsible for notifying the board office within ten (10) working days of any change in the supervisory arrangements;

      4. (D)

         1. (i) A list of facilities in which the SLPA will be utilized.
         2. (ii) The location of work settings must be kept current.
         3. (iii) Any change must be reported in writing to the board within twenty-one (21) days.
         4. (iv) Based on information received, the board may limit the number of practice sites; and

      5. (E) The dated signature of the supervisor.

         1. (d) If the application process for registration is not completed within twelve (12) months:
   6. (1) The application shall be considered abandoned; and
   7. (2) A new application must be submitted.

Codification Notes: “SLP” means speech-language pathologist.