1. (a) Unless otherwise indicated, an applicant must submit all required information and documentation of credentials on department-approved forms.

2. (b) An applicant for an intern in speech-language pathology license must submit the following required documentation:

   1. (1) a completed application on a department-approved form;
   2. (2) an original or certified copy of the transcript(s) showing the conferred degree of all relevant course work which also verifies that the applicant possesses a minimum of a master's degree with a major in one of the areas of communicative sciences or disorders;
   3. (3) if the applicant graduated from a college or university with a program not accredited by the ASHA Council on Academic Accreditation, an original signed letter from ASHA stating the Council for Clinical Certification accepted the course work and clinical experience;
   4. (4) if the graduate degree has not been officially conferred, an original or certified copy of transcript(s) and verification from the university attended verifying the applicant successfully completed all requirements for the graduate degree, and is only awaiting the date of next graduation for the degree to be conferred;
   5. (5) a Course Work and Clinical Experience Form completed by the university program director or designee of the college or university attended which verifies the applicant has met the requirements established in §111.40(b) - (c);
   6. (6) an Intern Plan and Agreement of Supervision Form completed by the proposed department-approved supervisor and signed by both the applicant and the proposed department-approved supervisor;
   7. (7) proof of successfully completing the Texas Jurisprudence Examination under §111.23; and
   8. (8) the initial application fee required under §111.160.
3. (c) An applicant for an intern in speech-language pathology license must submit a completed legible set of fingerprints, on a form prescribed by the department, to the Department of Public Safety for the purpose of obtaining criminal history record information. An applicant must successfully pass a criminal history background check.
4. (d) An applicant must complete all licensing requirements within one year from the date the application was submitted. After that year an applicant will be required to submit a new application and all required materials in addition to paying a new application fee.

Source Note:The provisions of this §111.45 adopted to be effective October 1, 2016, 41 TexReg 4441.