NC Board of Examiners for SLPA

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Download Registration Form

SLP Assistant Protocol Form - Required Effective August, 2014
Please download this required form:

SLP Assistant Protocol Form Word Version


SLP Assistant Form PDF Version

SLP Assistant Registration Fee - $40.00

Download Renewal Form

Annual Renewal Fee - $40.00

Supervision Change Fee - $20.00

In order for your registration or renewal to be processed when paying online, the completed Registration or Renewal Form must be received in the Board Office.

Fees (include a $2.00 Convenience Charge to cover Pay Pal Fees)
License Number
Licensee/Applicant 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