Internationally educated speech-language pathologists: ASHA’s CCC-SLP route
ASHA lets people educated outside the U.S. apply for the CCC-SLP with an international application, an evaluation from a listed credential evaluation agency, official English translations, a record of at least 400 supervised clinical practicum hours, a passing national exam score sent directly to ASHA, and a Clinical Fellowship that starts only after ASHA approves the academics and practicum. Holders of certification through an MRA partner association use a separate process.
Quoted from official pages checked November 10, 2026. Confirm current requirements, fees, and dates on those sites. This page is not legal advice and does not guarantee eligibility, certification, or licensure.
Who applies this way
ASHA’s Certification Information for International Applicants page, checked November 10, 2026, states: “Individuals who have been internationally educated (not in the United States [U.S.]) 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.” It says people who hold speech-language pathology certification through a signatory association under the Mutual Recognition Agreement (MRA) should use the MRA application process.
What ASHA requires
ASHA’s International Applicants for the CCC-SLP page lists requirements under the 2020 SLP Certification Standards. It states: “You must include a detailed record of your supervised clinical experience.” It requires official English translations of undergraduate and graduate transcripts and course descriptions, and states: “Translations must be completed by a certified and/or credentialed professional translator.”
On the credential evaluation, it states: “Your credential evaluation agency must evaluate your academic program(s) to be equivalent to the master's degree and bachelor's degree in the U.S.” And: “If your degree is evaluated to be less than the equivalent of the master’s degree in speech-language pathology, you are ineligible to apply for the CCC-SLP.” It also states: “Your credential evaluation report does not guarantee that you have met the standards; it only determines U.S. equivalency of credit hours and degrees.” ASHA’s credential evaluation agencies page states that ASHA “requires that the educational evaluation be performed by one of the listed agencies but neither recommends nor endorses any of them.”
The exam
The international applicants page states that all applicants must have a passing score (162) submitted directly to ASHA. It also states: “The exam must be passed and reported to ASHA no later than 2 years after the date the application is received by the ASHA National Office.” And: “Exam scores older than 5 years at the time the application is received by the ASHA National Office will not be accepted.” See SLP exams and certification and scores.
Clinical Fellowship
It states: “Any hours spent in your CF prior to approval of academics and practicum will not count toward your 1,260 CF hours. Once your academics and practicum are approved, you may begin your CF.” And: “A minimum of 1,260 hours are required under the supervision of a speech-language pathologist who holds a valid CCC-SLP.” See the Clinical Fellowship.
Certification is not a license
The information page states: “Certification is different from licensure.” It also states: “Holding the CCC does not guarantee that you will obtain state licensure.” Contact the state board in the directory. This page gives no immigration advice and copies no fees or review times.