2023 Application Form for CFCC Positions
This is the official application form for the Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC). Complete it to apply for various positions including ASHA-certified Audiologist, Speech-Language Pathologist, and Public Member. Ensure all relevant details and submissions are included by the deadline.
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How do I fill this out?
To fill out this application form, begin by gathering all necessary personal and professional information. Make sure to address each section carefully to provide a comprehensive overview of your qualifications. Pay particular attention to the instructions for submitting your curriculum vitae.

How to fill out the 2023 Application Form for CFCC Positions?
1
Open the application form and enter your personal details in the designated fields.
2
Provide a current CV as an email attachment following the criteria provided.
3
Complete the section describing your primary and secondary employment activities.
4
Summarize your previous ASHA committee involvement and state association activities.
5
Attach a statement detailing your expertise relevant to the CFCC.
Who needs the 2023 Application Form for CFCC Positions?
1
ASHA-certified Audiologists seeking committee positions.
2
Speech-Language Pathologists interested in serving on the CFCC.
3
Public members wanting to participate in audiology-related decision-making.
4
Professionals involved in clinical services or education who wish to lend their expertise.
5
Volunteers in state associations aiming for broader involvement in ASHA initiatives.
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What are the instructions for submitting this form?
To submit this application form, ensure that all required fields are filled out completely and accurately. Attach a current CV not exceeding 10 pages, and send the entire application as a single email to cfcc@asha.org by May 8, 2022. Be sure to double-check your documents for clarity and completeness before sending.
What are the important dates for this form in 2024 and 2025?
The key date for this application form is May 8, 2022, which marks the submission deadline for all application materials. Future cycles will likely follow a similar timeline, with application periods beginning well in advance of new terms starting on January 1. Ensure to stay updated for changes affecting 2024 and 2025.

What is the purpose of this form?
The purpose of this application form is to recruit qualified individuals for the Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC). This council plays a crucial role in setting and maintaining high standards in clinical certification for audiologists and speech-language pathologists. By filling out this form, candidates demonstrate their commitment and qualifications for contributing to the field through service on the council.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Fields for name, employer, work and home addresses, phone numbers, and email contact.
- 2. Position Applied For: Selection options for roles within the CFCC, including Audiologist, Speech-Language Pathologist, and Public Member.
- 3. ASHA Certification Areas: Indication of areas in which the applicant holds ASHA certification.
- 4. Employment Activity: Details about primary and secondary employment activities.
- 5. Committee Involvement: Summary of previous service on ASHA boards, committees, and related activities.
- 6. Expertise Statement: A statement detailing the applicant's relevant experience and expertise.
- 7. Curriculum Vitae: A reminder to attach the current CV not exceeding 10 pages.
What happens if I fail to submit this form?
Failure to submit the form by the deadline may result in the inability to be considered for the desired position on the CFCC. Candidates must be aware that late submissions are generally not accepted, which can affect their career trajectory in the field. It's crucial to meet all specified requirements to ensure eligibility.
- Missed Opportunities: Not submitting means you may miss the chance to contribute to important decisions in the field.
- Reputation Impact: Late or incomplete submissions can negatively affect your professional reputation.
- Future Applications: Repeated failures to submit may impact your future eligibility for similar opportunities.
How do I know when to use this form?

- 1. Applying for CFCC Roles: All ASHA-certified individuals looking to serve on the CFCC must complete this form.
- 2. Candidate for Public Member: Public representatives interested in contributing to the audiology domain can use this form.
- 3. Submitting Necessary Documentation: This form is necessary for submitting additional documents such as CVs for your application.
Frequently Asked Questions
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You can download your edited PDF to your device for submission, but you cannot save files on PrintFriendly.
What types of changes can I make to the PDF?
You can edit text fields, add your signature, and make any necessary adjustments to complete your application.
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Your editing experience is private, allowing you to focus on completing your application without distraction.
How do I add my signature to the PDF?
Use the signature tool on PrintFriendly, select the signature field, and follow the prompts to add your signature.
What is the maximum page count for my CV?
Your CV should not exceed 10 pages as specified in the application guidelines.
How will I submit my completed application?
Email your completed application and CV to cfcc@asha.org before the deadline.
Who can I contact for more information?
For further questions, reach out to the CFCC Nominating Committee via the provided email.
What is the deadline for submission?
The deadline for submitting this application is May 8, 2022.
Can I include additional documents with my application?
Yes, feel free to attach additional supporting documents if necessary.
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