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 audiology 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 most current transcript(s);
   3. (3) a Course Work and Clinical Experience Form for Audiology Intern completed by the university program director or designee of the college or university attended which verifies the applicant is enrolled in a professionally recognized accredited doctoral program as approved by the department, and has completed all required academic and clinical course work;
   4. (4) 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;
   5. (5) proof of successfully completing the Texas Jurisprudence Examination under §111.23; and
   6. (6) the initial application fee required under §111.160.
3. (c) An applicant for an intern in audiology 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 §111.85 adopted to be effective October 1, 2016, 41 TexReg 4441.