NC Board of Examiners for SLPA

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Click Here for Reciprocal Audiology Application Form


For those who hold a full, unrestricted Audiology License in another state.
Click Here for Temporary Audiology Application Form

For Audiology students completing an externship who have NOT yet obtained a doctoral degree in Audiology.
Click Here for Initial Permanent Audiology License Application Form

For those who hold a doctoral degree in Audiology and meet all requirements for a full unrestricted license, but do not hold a full unrestricted license in another state.

 

 

 

Reciprocal Application Materials

Click Here to Download the Audiology Reciprocal Application

Please also click here to download
Article 22 - Licensure Act for Speech and Language Pathologists & Audiologist
s

*All new licensees are required to take the Audiology Quiz to insure familiarity with N.C. Licensure Law. A copy of this quiz is included with the application downloaded above.

Required Fees:
Application Fee $30.00
Permanent License Fee $60.00

Online payments of the application and permanent license fees are accepted. The required forms and quizzes must be received in the Board Office before your application will be processed.

Fees (include a $2 Convenience Charge to cover Pay Pal fees)
Applicant's Name:

 

 

 

 

 

Temporary Application Materials

Click Here to Download the Audiology Temporary Application Form

Download PDF of Power Point Instructions on Completing an Application

Please also click here to download
Article 22 - Licensure Act for Speech and Language Pathologists & Audiologist
s

Please click here to download the Supervised Experience Year Plan (SEY)

Supervisors must complete the following report at the conclusion of the Supervised Experience Year:

SEY Report

*All new licensees are required to take the Audiology Quiz to insure familiarity with N.C. Licensure Law. A copy of this quiz is included with the application downloaded above.

ALL TEMPORARY APPLICATIONS MUST BE APPROVED BY THE BOARD. IN ORDER TO BE REVIEWED BY THE BOARD, APPLICATIONS MUST BE RECEIVED IN THE OFFICE OF THE BOARD AT LEAST ONE WEEK PRIOR TO THE SCHEDULED MEETING DATE.

Click Here for the BOARD MEETING SCHEDULE

Required Fees:
Application Fee $30.00
Temporary License Fee $40.00


Online payments of the application and initial license fees are accepted. The required forms and quizzes must be received in the Board Office before your application will be processed.

 

Fees (include a $2 Convenience Charge to cover Pay Pal fees)
Applicant's Name:

 

 

 

Initial Permanent Application Materials

Click Here to Download the Initial Permanent Audiology Application

Please also click here to download
Article 22 - Licensure Act for Speech and Language Pathologists & Audiologist
s

*All new licensees are required to take the Audiology Quiz to insure familiarity with N.C. Licensure Law. A copy of this quiz is included with the application downloaded above.

Required Fees:
Application Fee $30.00
Permanent License Fee $60.00

Online payments of the application and permanent license fees are accepted. The required forms and quizzes must be received in the Board Office before your application will be processed.

Fees (include a $2 Convenience Charge to cover Pay Pal fees)
Applicant's Name:

 

 

 

 

 

PO Box 16885
Greensboro, NC 27416-0885

Telephone (336) 272-1828
Fax (336) 272-4353


Denise Sherwood, Administrator - dsherwood@ncboeslpa.org
Courtney Willingham, Assistant Administrator - courtneyk@ncboeslpa.org
Kate Young, Administrative Assistant- kyoung@ncboeslpa.org