APPLICATION FOR CREDENTIAL AUTHORIZING PUBLIC SCHOOL SERVICE CL 610 Cl879

User Manual: CL-610

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CL-879 6/2017
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SPEECH-LANGUAGE PATHOLOGY SERVICES CREDENTIAL
California has a two-tier structure for this credential that consists of a sequence of requirements, which the holder
is given up to two years to complete. The two-year preliminary credential is the first document issued after an
individual meets the specific credential requirements. Individuals receiving the preliminary credential are making
a commitment to complete the process and obtain the clear credential. The clear credential is issued once all
credential requirements have been completed. If requirements for the clear credential are not completed before
the expiration of the preliminary, the holder will be unable to serve in California’s public schools with that
credential until those requirements are met and the document renewed.
Authorization
The Speech-Language Pathology Services Credential may be issued in any of the following areas:
Language, Speech and Hearing
Language, Speech and Hearing and Audiology
Language, Speech and Hearing including Special Class Authorization
Language, Speech and Hearing and Audiology including Special Class Authorization
The Speech-Language Pathology Services Credential in Language, Speech and Hearing authorizes the holder to
conduct Language, Speech, and Hearing Assessments and provide Educational Services, provide specific learning
disability area services related to speech and language, and special education services to individuals with language
and speech impairments across the special education disability areas, to students from birth through age 22 in
services across the continuum of program options available found in California Code of Regulations Title 5
Section 80048.9.3 (see Terms and Definitions).
Special Class Authorization
The Special Class Authorization (SCA) is a teaching authorization that may be added to a credential that
authorizes providing speech services. The SCA authorizes the holder to provide instructional services to special
need students in the area of autism and speech and language impairment who are identified through the local level
special education assessment, and to conduct Educational Assessments related to students’ access to the academic
core curriculum and Special Education Support (see Terms and Definitions).
Since the SCA is a teaching authorization, requirements have been updated to include satisfying subject-matter
competence, reading, and English learner requirements to align with other special education teaching
authorizations on the Education Specialist Teaching Credential as well as No Child Left Behind compliance.
While many Commission-approved programs and employers currently require individuals to meet the updated
requirements, individuals will be held to complete these requirements to earn the SCA effective issuance date July
1, 2012.
State of California
Commission on Teacher Credentialing
1900 Capitol Avenue
Sacramento, CA 95811-4213
Email: credentials@ctc.ca.gov
Website: www.ctc.ca.gov
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Requirements for the Two-Year Preliminary Credential For Individuals Prepared in California
Individuals must satisfy all of the following requirements:
1. A Commission-approved specialized preparation program resulting in the formal recommendation for the
credential by the college or university where the program was completed*
2. Basic Skills Requirement. See Commission leaflet CL-667, entitled Basic Skills Requirement for
additional information.
3. Hold or have been recommended for a master’s degree or higher in speech-language pathology from a
regionally accredited institution of higher education. The master’s degree program must be accredited by
the American Speech-Language-Hearing Association’s Council on Academic Accreditation.
4. An application must be submitted online by the recommending institution
5. If not previously submitted to the Commission, a completed Live Scan receipt is also required (form 41-
LS). This form should be given to the credential analyst at the recommending institution prior to online
application submission.
*The institution of higher education may recommend the California-prepared candidate for a clear credential
instead of a preliminary if the candidate meets all of the requirements for both the preliminary and the clear
credential.
Individuals prepared outside of the United States or U.S. Territories must complete requirements 1-5 listed above
and obtain the formal recommendation of a California college or university with a Commission-approved Speech-
Language Pathology Services Program.
Requirements for the Clear Credential For Individuals Prepared in California
Individuals prepared in California may apply directly to the Commission for the clear credential* by submitting
an application packet consisting of items 1-5 required for the preliminary credential (listed above) and all of the
requirements listed in one of the following options:
Option 1 Verification of Examination Scores and Clinical Experience/Supervised Practicum
1. Passing score of 162 on the Educational Testing Services (ETS) Praxis II Speech-Language Pathology
Test (Test code 5331).** For more information, visit the ETS website at
http://www.ets.org/praxis/ca/requirements. Passing examination scores are valid for ten years from the
passed exam date.
2. A 36-week, full-time, mentored clinical experience or equivalent supervised practicum (commonly
known as the Clinical Fellowship Year [CFY]). Verification of completion may be provided on one
of the following forms:
a. Required Professional Experience Form (Form RPE 130/REV Feb 2016) from the California
Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board
b. Speech-Language Pathology Clinical Fellowship and Rating Report Form from the American
Speech-Language-Hearing Association (ASHA)
3. Application (form 41-4) and processing fee
Option 2 Verification of California Speech-Language Pathology License
1. Photocopy of a valid license (pocket size license that includes the expiration date and license number)
issued by the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers
Board or a photocopy of the license information from the Board’s website.
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2. Application (form 41-4) and processing fee
Option 3 American Speech-Language-Hearing Association (ASHA) Verification of Certification Letter
1. Verification of Certification letter from ASHA that the individual holds a valid ASHA Certificate of
Competence (CCC) including issuance and expiration dates and account number. A photocopy will
be accepted if the application is filed through the employing agency. If the application is filed directly
to the Commission by the applicant, an original letter is required.
2. Application (form 41-4) and processing fee
*The institution of higher education may recommend the California-prepared candidate for a clear credential
instead of a preliminary if the candidate meets all of the requirements for both the preliminary and the clear
credential.
** Previously, the Praxis II SLP test code was 0330 and the minimum passing score was 600. The previous
examination is still acceptable for certification within five years of the passing score date.
Requirements for the Two-Year Preliminary Credential For Individuals Prepared Out-of-State
Individuals prepared outside of California may apply directly to the Commission for the two-year preliminary
credential by submitting an application packet consisting of all of the following:
1. Official transcripts showing a master’s degree in speech-language pathology from a regionally-accredited
college or university
2. Basic Skills Requirement. See Commission leaflet CL-667, entitled Basic Skills Requirement for
additional information. A One-Year Nonrenewable credential may be issued at the request of a California
employing agency pending the basic skills requirement.
3. One of the following:
a. Complete, on or after January 1, 1997, a preparation program from a state determined to have
equivalent standards to the California Speech-Language Pathology Services Credential (see Table
1 below). This may be verified either a copy of the certificate from the approved state or an
eligibility letter from the institution where the program was completed or the state agency
responsible for issuing the certificate. The out-of-state program must match the area of certification
requested.
b. Hold or verify eligibility for an out-of-state speech-language pathology certificate authorizing
service in the K-12 public schools, verified by either a copy of the certificate or an eligibility letter
from the institution where the program was completed or the state agency responsible for issuing
the certificate. Individuals applying under this option must submit official transcripts and/or a letter
from the institution where the program was completed showing the program included a practicum
with school-age children, completed with a grade of “C” or better. Applicants who received a
“pass,” “credit,” or “satisfactory” grade are assumed to have completed the practicum at a level at
least equivalent to a grade of “C.” Letters verifying eligibility for certification or completion of
program requirements must be original, on the institution’s letterhead, and signed by the Dean or
department chair responsible for administering the program.
4. Application (form 41-4), and, if not previously submitted to the Commission, a completed Live Scan
receipt (form 41-LS). Out-of-state residents must submit two fingerprint cards in lieu of a Live Scan
receipt. If submitting fingerprint cards, current fingerprint processing fees must accompany the application
packet in addition to the application processing fee. Fingerprint cards may be ordered by sending a request
by email to Fingerprints@ctc.ca.gov.
5. Application processing fee
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If all requirements for the preliminary and clear credential are met with the initial application, the individual
will be issued the clear credential and not the preliminary.
Individuals prepared outside of the United States or U.S. Territories must complete requirements 1-5 listed above
and obtain the formal recommendation of a California college or university with a Commission-approved Speech-
Language Pathology Services Program.
Requirements for the Clear Credential For Individuals Prepared Out-of-State
Individuals prepared outside of California may apply directly to the Commission for the clear credential by
submitting an application packet consisting of items required for the preliminary credential (listed above) and all
of the requirements listed in one of the following options:
Option 1 Verification of Examination Scores and Clinical Experience/Supervised Practicum
1. Passing score of 162 on the Educational Testing Services (ETS) Praxis II Speech-Language Pathology
Test (Test code 5331).* For more information, visit the ETS website at
http://www.ets.org/praxis/ca/requirements. Passing examination scores are valid for ten years from the
passed exam date.
2. A 36-week, full-time, mentored clinical experience or equivalent supervised practicum (commonly
known as the Clinical Fellowship Year [CFY]). Verification of completion may be provided on one
of the following forms:
a. Required Professional Experience Form (Form RPE 130/REV Feb 2016) from the California
Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board
b. Speech-Language Pathology Clinical Fellowship and Rating Report Form from the American
Speech-Language-Hearing Association (ASHA)
3. Application (form 41-4) and processing fee
Option 2 Verification of California Speech-Language Pathology License
1. Photocopy of the valid license (pocket size license that includes the expiration date and license
number) issued by the California Speech-Language Pathology and Audiology and Hearing Aid
Dispensers Board or a photocopy of the license information from the Board’s website.
2. Application (form 41-4) and processing fee
Option 3 American Speech-Language-Hearing Association (ASHA) Verification of Certification Letter
1. Verification of Certification letter from ASHA that the individual holds a valid ASHA Certificate of
Competence (CCC) including issuance and expiration dates and account number. A photocopy will
be accepted if the application is filed through the employing agency. If the application is filed directly
to the Commission by the applicant, an original letter is required.
2. Application (form 41-4) and processing fee
If all requirements for the preliminary and clear credential are met with the initial application, the individual
will be issued the clear credential and not the preliminary.
* Previously, the Praxis II SLP test code was 0330 and the minimum passing score was 600. The previous
examination is still acceptable for certification within five years of the passing score date.
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Audiology
Individuals may obtain the audiology authorization by one of two methods: 1) obtain a separate Clinical or
Rehabilitative Services Credential, or 2) complete the requirements for the audiology authorization as required
for the Clinical or Rehabilitative Services Credential and add the authorization to their existing Speech-Language
Pathology Services Credential. See Commission leaflet CL-610, entitled Clinical or Rehabilitative Services
Credential for more information.
Upgrading a Clinical or Rehabilitative Services Credential to a Speech-Language Pathology
Services Credential
Individuals who hold a Clinical or Rehabilitative Services Credential issued in Language, Speech and Hearing
may upgrade to the Speech-Language Pathology Services Credential by submitting an application packet directly
to the Commission consisting of items 1-5 required for the preliminary credential (listed above) and all of the
requirements listed in one of the following options:
Option 1 Verification of Examination Scores and Clinical Experience/Supervised Practicum
1. Passing score of 162 on the Educational Testing Services (ETS) Praxis II Speech-Language Pathology
Test (Test code 5331).* For more information, visit the ETS website at
http://www.ets.org/praxis/ca/requirements. Passing examination scores are valid for ten years from the
passed exam date.
2. A 36-week, full-time, mentored clinical experience or equivalent supervised practicum (commonly
known as the Clinical Fellowship Year [CFY]). Verification of completion may be provided on one
of the following forms:
a. Required Professional Experience Form (Form RPE 130/REV Feb 2016) from the California
Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board
b. Speech-Language Pathology Clinical Fellowship and Rating Report Form from the American
Speech-Language-Hearing Association (ASHA)
3. Application (form 41-4) and processing fee
Option 2 Verification of California Speech-Language Pathology License
1. Photocopy of the valid license (pocket size license that includes the expiration date and license
number) issued by the California Speech-Language Pathology and Audiology and Hearing Aid
Dispensers Board or a photocopy of the license information from the Board’s website.
2. Application (form 41-4) and processing fee
Option 3 American Speech-Language-Hearing Association (ASHA) Verification of Certification Letter
1. Verification of Certification letter from ASHA that the individual holds a valid ASHA Certificate of
Competence (CCC) including issuance and expiration dates and account number. A photocopy will
be accepted if the application is filed through the employing agency. If the application is filed directly
to the Commission by the applicant, an original letter is required.
2. Application (form 41-4) and processing fee
* Previously, the Praxis II SLP test code was 0330 and the minimum passing score was 600. The previous
examination is still acceptable for certification within five years of the passing score date.
For information regarding the Clinical or Rehabilitative Services Credential authorizing Audiology or Orientation
and Mobility, please see Commission leaflet CL-610, entitled Clinical or Rehabilitative Services Credentials.
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A Note Regarding Medi-Cal Funding Reimbursement
For information on Medi-Cal funding reimbursement for speech-language services, visit the Department of Health
Care Services:Medi-Cal website at http://www.medi-cal.ca.gov/default.asp.
To Verify a California SLP License Online
Visit the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board’s website at
http://www.speechandhearing.ca.gov/consumers/index.shtml.
Terms and Definitions:
Language, Speech, and Hearing Assessments: Assessments includes procedures, techniques, and instrumentation,
both formal and informal, used to assess the speech and language status of children and the implications of
speech/language disorders in a school or educational setting. The assessment includes the screening, evaluation,
and interpretation of test results and referrals for further evaluation for treatment.
Educational Services: Educational Services include the development of speech and language goals and objectives
and the delivery of speech and language services as determined by an Individual Education Program (IEP),
Individual Family Service Program (IFSP), and/or Individual Transition Plan (ITP) developed by the educational
team that directly result from the student’s speech and language disability. The goals and objectives are driven by
the specific speech and language disorder needs of the student in accordance with state and federal laws and
regulations. Educational services include the use of information and strategies that measure student progress on
goals, effectiveness of accommodations/modifications, and the need for any changes in speech and language
support and services. Consultation, collaboration, and speech/language academic support with teachers in the
student’s speech and language-based academic success is included.
Educational Assessment: Assessment of students in a comprehensive manner within the authorization of the
added authorization using multiple sources of information and a variety of strategies that directly measure a
student’s performance to meet goals in areas of grade-level academic curriculum and/or functional goals designed
to meet the Individualized Education Program (IEP), Individualized Family Service Program (IFSP), and/or
Individualized Transition Plan (ITP) goals and objectives regarding eligibility and services that directly result
from the student’s disability according to state and federal accountability systems. The assessment process may
include both formal and informal assessments to evaluate students' educational instruction needs and strengths
for the purpose of making accommodations, modifications, and instructional decisions.
Special Education Support: Support includes participation in the IEP, IFSP, and/or ITP process including
planning and implementation of the student’s IEP, Individualized Family Service Program, and/or Individualized
Transition Plan; providing consultative, collaborative, and coordinating instruction with students, parents,
teachers, and other community and school personnel; planning, developing, and implementing instructional
program plans relative and within the authorization of the credential or added authorization. Special Education
Support does not include providing speech, language and hearing, orientation and mobility, or audiology services.
Reference: California Education Code, Section 44265.3, Title 5 sections 80048.9, 80048.9.2, 80048.9.4, and
Welfare and Institutions Code Section 14132.06
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TABLE 1
Equivalency for Out-of-State Speech-Language Pathology Services Programs Completed on or
after January 1, 1997
The following list identifies the preparation programs in other states that have been determined by the Commission to be
equivalent for the purposes of applying for the Speech-Language Pathology Services Credentials in the categorical areas
indicated.
State
Equivalent Program
State
Equivalent Program
Alabama
LSH
Montana
----
Alaska
----
Nebraska
LSH
Arizona
----
Nevada
----
Arkansas
LSH
New Hampshire
----
Colorado
AUD, LSH, SCA
New Jersey
----
Connecticut
----
New Mexico
----
Delaware
AUD, LSH
New York
----
District of Columbia
----
North Carolina
AUD, LSH
Florida
LSH
North Dakota
LSH
Georgia
----
Ohio
----
Hawaii
----
Oklahoma
LSH
Idaho
----
Oregon
LSH
Illinois
----
Pennsylvania
LSH
Indiana
LSH
Rhode Island
AUD, LSH
Iowa
----
South Carolina
LSH
Kansas
AUD, LSH
South Dakota
LSH
Kentucky
----
Tennessee
LSH
Louisiana
----
Texas
----
Maine
LSH
Utah
----
Maryland
----
Vermont
----
Massachusetts
----
Virginia
LSH
Michigan
LSH, SCA
Washington
AUD, LSH
Minnesota
----
West Virginia
----
Mississippi
----
Wisconsin
LSH
Missouri
LSH
Wyoming
LSH
KEY
AUD = Audiology
LSH = Language, Speech and Hearing
SCA = Language, Speech and Hearing including Special
Class Authorization
---- = No equivalency

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