Certification Information for International Applicants

Individuals who have been internationally educated (not in the United States) may apply for the ASHA Certificate of Clinical Competence in Audiology (CCC-A) or Speech-Language Pathology (CCC-SLP) by completing and submitting the application that is appropriate for their practice area, along with all additional required documents.

Individuals who hold speech-language pathology certification through any of the signatory associations under the Mutual Recognition Agreement (MRA) should use the MRA application process to apply for the CCC-SLP.

Applicants who received their qualifying degree (doctoral degree in audiology or master’s degree in speech-language pathology) in Canada, who are not members of Speech-Language and Audiology Canada (SAC), must apply as an international applicant, even if their permanent residence is in the United States or their undergraduate degree was completed in the United States.

What is the CCC?

The Certificate of Clinical Competence (CCC) is a voluntary certification. It is an internationally recognized credential for speech-language pathologists and audiologists that shows you have received the highest quality preparation and training, and that you continue to learn advanced techniques through professional development. Because of the importance of the CCC, you must meet specific requirements (our “standards”) as outlined within the current certification standards for audiology or speech-language pathology.

Certification is different from licensure. In order to practice audiology or speech-language pathology, it is required that you hold valid licensure in the state in which you wish to practice. ASHA certification (the CCC) is optional and voluntary, and is often desired in addition to licensure. Holding the CCC does not guarantee state licensure because each state has different licensure requirements.

Working in the U.S.

ASHA certification alone is not a permit to work, but it can serve as the basis for applying for state licensure, which is a requirement for working in any state. If you are seeking to work in the U.S., you should contact the state regulatory agency or state licensing board in the state(s) you wish to be employed. In most cases, a letter from ASHA verifying your certification status is sufficient to allow you to meet state licensing requirements; however, some states require additional documentation (e.g., copies of exam results, clinical fellowship documents, etc.). Please make copies of your certification application materials before submitting them—ASHA does not provide copies of documents submitted for certification to licensing agencies.

Membership Dues and Certification Fees

Payment must be submitted in full with your application.

  • Certification and ASHA Membership: $511
  • Certification without ASHA Membership: $455

Application Requirements and Checklist

Certification Timeline

Applications will only be processed once all documents are received. Please allow approximately 6-8 weeks for the initial review once your application materials and payment have been received at the ASHA National Office. Each time that you submit additional documents after the initial review (due to corrections or incomplete or missing documents), additional review time will be required. Certification cannot be awarded until we have verified that all requirements of the standards have been met. Your application for the CCC does not guarantee that you will be awarded the CCC.

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