Ariz. Admin. Code § R9-16-206 - Requirements for a Speech-language Pathologist - Limited
A.
Except as provided in subsection (B) and before the
expiration date of the speech-language pathologist's license, a licensed
speech-language pathologist shall submit to the Department:
1.
A renewal application in a format provided by the
Department that contains:
a.
The applicant's name, home address, telephone
number, and e-mail address;
b.
If applicable, the applicant's business address and
telephone number;
c.
If applicable, the name of the applicant 's
employer, including the employer's business address and telephone
number;
d.
The applicant's license number and date of
expiration;
e.
Since the previous license application, whether the
applicant has been convicted of a felony or a misdemeanor involving moral
turpitude in this or another state;
f.
If the applicant was convicted of a felony or a
misdemeanor:
i. The date of the
conviction,
ii. The state or jurisdiction of
the conviction,
iii. An explanation of the crime
of which the applicant was convicted, and
iv. The disposition of the
case;
g.
Whether the applicant had, within two years before
the renewal application date, a speech-language pathologist license suspended
or revoked by any state;
h. An attestation that the
information submitted is true and accurate; and
i. The applicant's signature and
date of signature;
2.
Documentation of the continuing education required
in R9-16-208, completed within the two years before the expiration date of the
license, including:
a.
The name of the individual or organization providing
the course;
b.
The date and location where the course was
provided;
c.
The title of each course attended;
d.
The description of each course's
content;
e.
The name of the instructor;
f.
The instructor's education, training, and experience
background, if applicable; and
g.
The number of continuing education hours earned for
each course;
3.
If the applicant is limited to providing
speech-language pathology services to pupils under the authority of a local
education agency or state-supported institution the documents required in
R9-16-203(B) ; and
4.
A $200 license renewal fee.
B.
In addition to the documentation and renewal fee in
subsection (A), an applicant who submits a renewal application within 30
calendar days after the license expiration date shall submit a $25 late
fee.
C.
An applicant who does not submit the documentation
and the fee in subsection (A) and, if applicable, (B) within 30 calendar days
after the license expiration date shall apply for a new license in R9-16-203
.
D.
If an applicant applies for a license according to
R9-16-203 more than 30 calendar days but less than one year after the
expiration date of the applicant's previous license, the
applicant:
1.
Is not required to submit ETSNESLP documentation,
and
2.
Shall submit documentation of continuing education
according to R9-16-208 completed within the two years before the date of
application.
E.
The Department shall review the application packet
for a renewal license to practice as a speech-language pathologist according to
R9-16-209 and Table 2.1.
In addition to complying with R9-16-202(A), an applicant for initial licensure as a speech-language pathologist - limited as specified in A.R.S. § 36-1940.01(B) shall submit to the Department the following:
Notes
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