(a) Unless otherwise indicated, an applicant must submit all required information and documentation of credentials on department-approved forms.     
      (b) An applicant for an assistant in speech-language pathology license must submit the following required documentation:      
        (1) a completed application on a department-approved form;       
        (2) a completed Supervisory Responsibility Statement Form as prescribed under §111.51;       
        (3) an original or certified copy of the transcript(s), which shows the 24 semester credit hours of required course work and which shows the applicant possesses a baccalaureate degree with an emphasis in communicative sciences or disorders or a baccalaureate degree that qualifies under §111.50(c);       
        (4) if not previously submitted, a Clinical Observation and Clinical Experience Form completed by the university program director or designee of the college or university training program verifying the applicant completed the requirements set out in §111.50(a)(3);       
        (5) for an applicant who did not obtain the hours referenced in paragraph (4), a Clinical Deficiency Plan Form to obtain the hours lacking;       
        (6) proof of successfully completing the jurisprudence examination under §111.23; and       
        (7) the initial application fee required under §111.160.       
      (c) An applicant for an assistant in speech-language pathology license must submit a completed legible set of fingerprints, on a form prescribed by the department, to the Department of Public Safety for the purpose of obtaining criminal history record information. An applicant must successfully pass a criminal history background check pursuant to Texas Occupations Code, Chapters 51 and 53, and the department's criminal conviction guidelines.     
      (d) An applicant must complete all licensing requirements within one year from the date the application was submitted. After that year an applicant will be required to submit a new application and all required materials in addition to paying a new application fee.     
     Source Note:        The provisions of this §111.55 adopted to be effective October 1, 2016, 41 TexReg 4441; amended to be effective May 1, 2018, 43 TexReg 2544; amended to be effective August 1, 2020, 45 TexReg 5172