name: last, first mi redid: 0 email:   date entered program:   anticipated graduation date:   advisor: nip undergraduate

Name: Last, First MI RedID: 0 Email:  
Date Entered Program:   Anticipated Graduation Date:   Advisor:
Nip
Undergraduate / Post-baccalaureate Preparation
KNOWLEDGE OF BASIC SKILLS typically completed as part of undergraduate
general education requirements
Course #
Title (provide description or syllabi in separate documentation as
needed)
Units
Institution (abbrev)
Term / Yr
Grade
KASA
Standards
SLPSC
Standards
BIOLOGICAL SCIENCES (e.g., biology, human anatomy and physiology,
neuroanatomy and neurophysiology, human genetics, veterinary science)
 
Title
 
/  
IV-A
PHYSICAL SCIENCES (acceptable courses should include physics or
chemistry)
 
Title
 
/  
IV-A
SOCIAL/BEHAVIORAL SCIENCES (acceptable courses should include
psychology, sociology, anthropology, or public health)
 
Title
 
/  
IV-A
STATISTICS (a stand-alone course in statistics is required)
 
Title
 
/  
IV-A
DISCIPLINE-SPECIFIC UNDERGRADUATE / PREREQUISITE COURSEWORK
Enter equivalent coursework below each course if completed elsewhere;
content may be completed across multiple courses and vice versa.
Introduction to Communication Disorders and Language Science (and/or
Introductory Linguistics)
 
Title
 
/  
IV-BC
G-35;
S-123
 
Title
 
/  
Introduction to Phonetics
 
Title
 
/  
IV-BC
G-35;
S-123
Anatomy of Speech and Hearing and Neuroanatomy
 
Title
 
/  
IV-BC
G-56;
S-1345
 
Title
 
/  
Audiology, Audiometry, and Aural Rehabilitation
 
Title
 
/  
IV-BCD
G-35;
S-12345
 
Title
 
/  
 
Title
 
/  
Children’s Language Development
 
Title
 
/  
IV-BC
G-1356;
S-1234
 
Title
 
/  
Children’s Language Disorders
 
Title
 
/  
IV-BCD
G-1356;
S-1234
 
Title
 
/  
Speech Sound Disorders (Articulation/Phonological Disorders)
 
Title
 
/  
IV-BCD
G-35;
S-1234
 
Title
 
/  
Graduate Academic Coursework Year 1
Course No.
Title
Units
Term / Yr
Grade
KASA
Standards
SLPSC
Standards
SLHS 600A
Research Meth Comm Sci Dis
1
FALL /  
IV-AEFG
G-2; S-4
SLHS 607
Phonology and Phonological Dis
3
FALL /  
IV-ABCDF
G-35; S-2345
SLHS 609A
Acq Neurogen Lang & Cog Dis I
3
FALL /  
IV-ABCDF
G-5; S-1345
SLHS 613
Lang Dis: Infancy - Preschool
3
FALL /  
IV-ABCDEFG
G-345; S-12345
SLHS 617
Diag Meth Speech-Lang Path
3
FALL /  
IV-ABCDEFG
G-3456; S-12345
SLHS 608
Acq Neuromotor Speech Dis
3
SPR /  
IV-ABCDF
G-12345; S-12345
SLHS 609B
Acq Neurogen Lang & Cog Dis II
3
SPR /  
IV-ABCDF
G-25; S-1345
SLHS 614
Lang Dis: School Age - Adol
3
SPR /  
IV-ABCDF
G-2345; S-2345
SLHS 511†
Aural Rehab
3
SPR /  
IV-ABCDF; V-BFG
G-1356; S:2345
SLHS 570
Dysphagia
4
SUM /  
IV-BCDEG
G-3; S-1345
† SLHS 511 is required for those who did not take aural rehab in their
undergraduate or postbaccalaureate coursework.
Graduate Academic Coursework Year 2
Course No.
Title
Units
Term / Yr
Grade
KASA
Standards
SLPSC
Standards
SLHS 600B
Adv Research Meth Comm Sci Dis II
2
FALL /  
IV-AEFG
G-2; S-4
SLHS 606
Voice, Resonance, & Fluency Dis
3
FALL /  
IV-ABCDF
G-123456; S-1345
SLHS 673‡
Sem CDIS Biling Sp-Eng Child
3
FALL /  
IV-ABCDEF
G-235; S-2345
SLHS 672‡
Sem Comm Dis Biling Adult
3
SPR /  
IV-ABCDF
G-3; S-134
SLHS 675
Augmentative Communication
2
SPR /  
IV-ACDF
G-23456; S-2345
SPED 685*
Single Case Research Design
3
FALL /  
IV-AEFG
G-2; S-4
‡ Enroll in SLHS 672 or SLHS 673. Students in Bilingual Certificate
Program take SLHS 672 in Year 1, and SLHS 673, as well as SLHS 794
(below) in Year 2. Refer to Graduate Bulletin for further details.
* Students may enroll in SPED 685 in place of SLHS 600B with
permission from the Graduate Advisor.
Nine units from the following, 3 units of which must include SLHS 707,
750, 790, 793, 794, or 798:*
Course No.
Title
Units
Term / Yr
Grade
KASA
Standards
SLPSC
Standards
SLHS 707
Seminar in Phonological Acquisition
3
SPR /  
IV-ABCDF
G-35; S-2345
SLHS 750
Lang, Cog, Brain: Sign Lang Res
3
FALL /  
IV-BCF
G-3; S-2
SLHS 790
Seminar in Found Language Science
3
FALL /  
IV-ACDF
G-35; S-123
SLHS 793
Seminar Dis Lang & Cog: Child
3
SPR /  
IV-ABCEF
G-1356; S-2345
SLHS 794
Seminar Lang Dis Multilingual Pop
3
FALL /  
IV-ACDF
G-135; S-2345
SLHS 795
Research Practicum
3
/  
IV.AF; varies
varies
SLHS 795
Research Practicum
3
/  
IV.AF; varies
varies
SLHS 797
Research
/  
IV.AF; varies
varies
SLHS 797
Research
/  
IV.AF; varies
varies
SLHS 797
Research
/  
IV.AF; varies
varies
SLHS 798
Special Study
3
SPR /  
IV.A; varies
varies
SLHS 798
Special Study
/  
IV.A; varies
varies
SLHS 798
Special Study
/  
IV.A; varies
varies
SLHS 799A
Thesis or Project (Plan A)
3
/  
IV.AF; varies
varies
CSP 711
Intensive Study in School Psych
1
/  
varies
varies
CSP 711
Intensive Study in School Psych
1
/  
varies
varies
CSP 711
Intensive Study in School Psych
1
/  
varies
varies
* Students in the Bilingual Certificate program must take SLHS 794 as
part of their 9 units of electives. Those pursuing the Specialization
in Bilingualism must complete SLHS 794 as well as SLHS 750, 795, or
798 as part of the 9 units.
Petitions/Special Accommodations/Waivers
Enter any graduate coursework transferred from another institution,
waivers, or petitions. If you plan to take a different course or
courses to satisfy your 700-level requirements (e.g., PSY 797, CSP
730), list them below:
 
Clinic Requirements*
Course No.
Title
Units
Term
Grade
KASA
Standards
SLPSC
Standards
Year 1
SLHS 525
Clinical Processes
2
Fall
IV-ABCDEFGH; V-BFG
G-234567; S-5
SLHS 525
Clinical Processes
2
Spring
IV-ABCDEFGH; V-BFG
G-234567; S-5
SLHS 618A
Diag Pract SLP: Pediatrics
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-2347
SLHS 618A
Diag Pract SLP: Pediatrics
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-2347
SLHS 618B
Diag Pract SLP: Adults
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-456; S-347
SLHS 618B
Diag Pract SLP: Adults
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-456; S-347
SLHS 619
Multidisc Diag Pract SLP
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 619
Multidisc Diag Pract SLP
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 619
Multidisc Diag Pract SLP
1
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626A
Pediatric SLP
0.5
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626A
Pediatric SLP
0.5
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626A
Pediatric SLP
0.5
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626A
Pediatric SLP
0.5
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626A
Pediatric SLP
0.5
F/Sp/Su
IV-ABCDEF; V-BFG
G-34567; S-23457
SLHS 626B
Neurogenic Sp-Lang Intervention
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626B
Neurogenic Sp-Lang Intervention
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626B
Neurogenic Sp-Lang Intervention
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626B
Neurogenic Sp-Lang Intervention
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626B
Neurogenic Sp-Lang Intervention
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626C
Voice/Fluency/Dysphagia Interv
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626C
Voice/Fluency/Dysphagia Interv
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626C
Voice/Fluency/Dysphagia Interv
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626C
Voice/Fluency/Dysphagia Interv
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
SLHS 626C
Voice/Fluency/Dysphagia Interv
0.5
F/Sp/Su
IV-ABCDEFG; V-BFG
G-3456; S:3457
Year 2
SLHS 627
Adv Field Clin Prac SLP and Aud
3
F/Sp/Su
IV-BCDEFG; V-BFG
G-34567; S-13457
SLHS 629
Prof Skills SLP I
1
Fall
IV-ABCDEFGH; V-BFG
G-12345678; S-12345
SLHS 630
Prof Skills SLP II
1
Spring
IV-ABCDEFGH; V-BFG
G-12345678; S-12345
SLHS 933
Clinical Practice Public Schools
4
F/Sp/Su
IV-ABCDEFGH; V-BFG
G-12345678; S-12345
*Specific courses, number of sections, and sequencing vary across
students and according to semester and student clinic assignments and
placements. Leave the grade blank if you did not complete the course.
Certificates/Specializations
Bilingual Specialization (BS): Bilingual Certificate Program (BCP;
Spanish only):
Language of specialization:   Date Admitted to BS/BCP:  
Plan A/B:
Plan A Thesis Title:  
Date Thesis Proposal Approved:  
Exams
Date Taken
Pass?
Retake Date
Pass?
Plan A: Oral Defense
 
 
Plan B: Comprehensive (Portfolio*)
 
 
BCP/BS: Language Proficiency (CSET)
 
 
Date Program of Study Filed:   Date Degree Awarded:  
SLHS Graduate Adviser Signature Date Program Director Signature Date

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