Practical Forms for Speech-Language Pathology Assistants
Skills Proficiency Checklist
SLPA:
Supervising SLP:
Skills or Proficiency Self-Rating Supervising SLP Rating
Date Proficiency Level Date Proficiency Level How Learned Demonstrated
Competence Levels
H
ow Learned
D
emonstrated
1. Little or no experience.
Observation Direct observation
2. Some experience, requires practice/assist.
On the job training Test (written/verbal)
3. Proficient with occasional supervision.
Class Certificate/License
4. Proficient with independent performance.
Video Discussion
Policy/Procedure Other
Copy freely American Speech-Language-Hearing Association