American Speech-Language-Hearing Association

Information For:

CAA Program Director Change Notification Form

Programs must notify the CAA of program director changes as soon as possible, but no later than 30 days after the change, including temporary appointments and sabbaticals. Failure to notify the CAA Accreditation Office within the time lines may jeopardize the program's accreditation status.

The program should also provide updates about this change and steps it is taking to assure continuing compliance with accreditation standards by providing that information in its next CAA report. In particular, the program should refer to the Standard 1.5 of the Standards for Accreditation as a guide to the CAA's compliance expectation regarding program director qualifications and leadership.

* indicates required field.

Today's Date (MM/DD/YYYY):*

Program Name:*

CAA File Number:*

Professional Area (A/SLP):*

First Name of Previous Program Director:*

Last Name of Previous Program Director:*

Date Appointment Ended (MM/DD/YYYY):*

First Name of New Program Director:*

Last Name of New Program Director:*

Title:*

Phone Number:*

Fax:

E-mail:*

Date Appointment Began (MM/DD/YYYY):*

Apointment is:*

Please describe the reason for the change.*

If position is vacant or filled on an interim basis, please describe the program's plan for filling the position.

If the position is on an interim basis to fill in for a program director on sabbatical, please provide the dates of the sabbatical.

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