N.H. Admin. Code § Spe 303.04

Current through Register No. 50, December 12, 2024

Section Spe 303.04 - Documents Required of Applicants For Full and Conditional Licensure

Applicants for full or conditional licensure shall provide, or arrange for the board to receive, the following documents supporting their applications:

(a) A recent passport size, 2" x 2", original head-shot photograph;

(b) On a separate sheet, a detailed report of the relevant circumstances if any of the answers to questions Spe 303.02(g)(1) through (g) (6) on part one of the application form is in the affirmative;

(c) On a separate sheet, a detailed report of the relevant circumstances if any of the answers to questions Spe 303.02(j)(1) through (j) (5) on part 2 of the application form is in the affirmative;

(d) If the applicant holds a currently valid certificate of clinical competence, an authenticated official transcript from the post-secondary institution issuing a master's or higher degree in speech-language pathology, communication sciences and disorders, or communication disorders:

(1) Mailed directly to the board by the issuing institution; or

(2) Submitted by the applicant in an envelope sealed by the institution in such a manner that it would be evident to the board if the envelope had been opened;

(e) If the applicant does not hold a currently valid certificate of clinical competence, the following documents:

(1) Proof of having met the educational degree required by Spe 305.01(b)(1) in the form of one of the following 3 kinds of documentation submitted in one of the ways described in (d)(1) and (2) above:

a.An authenticated official transcript showing the issuance of a master's or higher degree in speech-language pathology, communication sciences and disorders, or communication disorders;

b.An official letter from the educational institution awarding the degree verifying the fact that the applicant has graduated combined with an authenticated official transcript as soon as the transcript is available; or

c.An official letter from the educational institution awarding the degree verifying that the applicant successfully completed the requirements for graduation combined with an authenticated official transcript as soon as the transcript is available;

(2) Proof of successful completion of the supervised clinical observation and the supervised clinical practice required by Spe 305.01(b)(2) in the form of one or more statements on business letterhead:

a.Signed by the supervisor(s) of such supervised clinical observation and supervised clinical practice; and

b.Submitted to the board:

1.By mail by the supervisor(s) or the institution providing the applicant's educational program; or

2.By the applicant in an envelope sealed by a supervisor or the institution providing the applicant's educational program in such a manner that it would be evident to the board if the envelope had been opened; and

(3) The applicant's scores on the national examination in speech-language pathology sent directly to the board from Educational Testing Services;

(f) A resume containing a chronologically organized account of the applicant's paid or volunteer activities relative to speech language pathology in the immediately preceding 36 months, including:

(1) Each separate experience in paid or volunteer work:

a.Delivering speech-language pathology services directly to clients, including doing so during the post-graduate professional experience referred to in RSA 326-F:4, I;

b.Serving as an educator in speech-language;

c.Serving as an administrator in speech-language, speech-language pathology, occupational therapy, physical therapy, rehabilitation services or special education;

d.Contributing expertise in speech-language to a speech-language pathology board or committee; or

e.Serving as a speech-language pathology consultant;

(2) The period of each separate experience described by its beginning and ending dates; and

(3) The physical address of each experience;

(g) Unless the information is available only on a website, an official letter of verification sent directly to the board from every jurisdiction which has issued a license or other authorization to practice stating whether:

(1) The license or other authorization is or was, during its period of validity, in good standing, and

(2) Whether any disciplinary action was taken against the license or other authorization to practice;

(h) An original, not a photocopy, of a criminal offender record report:

(1) Issued by each state where the applicant has resided and/or been licensed within the past 6 years, providing that such state has sent the report:

a.To the board and the board has received the report; or

b.To the applicant for forwarding to the board, and the board has received the report;

(2) Covering the applicant under his or her name and any aliases; and

(3) Dated within the 6 months preceding the application for licensure; and

(i) If qualifying for full licensure based on a currently valid certificate of clinical competence, proof of such currently valid certificate in the following order of preference:

(1) A photocopy of both sides of the certificate;

(2) An official letter sent directly from ASHA reporting the date of issuance and the date of expiration of the certificate of clinical competence; or

(3) A statement that the board can obtain the information described in (2) above only from a secure website together with directions for accessing the website.

N.H. Admin. Code § Spe 303.04

(See Revision Note at chapter heading for Spe 300) #9125, eff 4-5-08; ss by #10326, eff 5-4-13

Amended byVolume XXXIV Number 46, Filed November 13, 2014, Proposed by #10682, Effective 10/4/2014, Expires10/4/2024.

Amended by Volume XXXV Number 32, Filed August 13, 2015 , Proposed by #10906, Effective 8/7/2015, Expires8/7/2025.