UIUC Audiology and Speech-Language Pathology Clinic External Supervisor Interest

Thank you for your interest in providing an external observational or clinical experience for students from the Department of Speech and Hearing Science at the University of Illinois Urbana-Champaign. Our undergraduate and graduate students greatly benefit from opportunities in external sites.

For undergraduates, this would take the form of job shadowing and clinical observation only. For graduate students, the external experience would involve supervision of a clinical experience that could take many different forms.

By completing this form you are not confirming that you will host a student. The purpose of this tool is to let us know that you are interested in potentially hosting a student in the future so that we can reach-out and learn more about you and the site at which you practice.

To find out more about our programs, please visit our website

Thank you for taking the time to complete this survey! 

 
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required4. I am a(n):
required5. I am ASHA-Certified:

 
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required7. How long have you been practicing?
required8. Employment Setting (select all that apply):

 
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required10. I am interested in (select all that apply):

For question number 11, please see ASHA's guidelines on supervison here

11. If supervising a graduate student in a mini- or full-time rotation, have you completed the 2 required supervision CEUs? (for information on Supervision CEU requirements please see the link above)

For question number 11, please see ASHA's guidelines on supervison here

12. Do you provide services in a language other than English?

 
limited to 20 words.