Resources for Supervisors

KASA Review Form

KASA REVIEW

SPECIFICS

6/

08

12/08

5/

09

AREAS OF IMPROVEMENT

AREAS OF IMPROVEMENT

 

STANDARD

 

Yes/No

Yes/No

Yes/No

Missing Course Area Circled

FEEDBACK - Missing Lab Area

Circled

Comments

Standard III-A. The applicant must demonstrate knowledge of the principles of:

 

Student has Liberal Arts course in each area:

       - Biological Science

       - Physical Science

       - College Level Math

       - Social Science

 

 

 

Biological Science

Physical Science

Mathematics

Social Science

 

Must include complete course number and name

Standard III-B. The applicant must demonstrate knowledge of basic human communication and swallowing processes:

Student has one or more foundation courses in each area:

       - Biological

       - Neurological

       - Acoustic

       - Psychological

       - Developmental

       - Linguistic

       - Cultural

 

 

 

A&P

Basic Audiology

Speech Science

Neuro.

Linguistics

Phonetics

Normal Lang.

 

Must include complete course number and name

Standard III-C.  The applicant must demonstrate knowledge of the nature of speech, language….. Specific knowledge must be demonstrated in the following areas:

Knowledge areas are complete both:

       - Etiology

       - Characteristics

 

 

 

Articulation

Fluency

Voice

Rec/Exp Lang

Hearing

Swallowing

Cognitive

Social aspects

Comm. Modalities

Fluency: Segmental Analysis

AAC:SGD Justification Report

Early Intervention: Eval. Report

Early Intervention: Poster Presentation

Clinic I: Diagnostic practicum lab

Clinic I: Ethics Lab

Dysphagia: Tx Efficacy Research

Dysphagia Guest speakers

Other:

Must include complete course number and name

Standard III-D: The applicant must possess knowledge of the principles and methods of prevention, assessment, and intervention for people with communication:

 

Student has evidence of the following in each area:

       - Prevention

       - Assessment

       - Intervention

 



 

 

 

 

 

 

 

Articulation

Fluency

Voice

Rec/Exp Lang

Hearing

Swallowing

Cognitive

Social aspects

Comm. Modalities

Fluency: Segmental Analysis

AAC:SGD Justification Report

Early Intervention: Eval. Report

Early Intervention: Poster Presentation

Clinic I: Diagnostic practicum lab

Clinic I: Ethics Lab

Clinic I: Family-based services lab

Dysphagia: Tx Efficacy Research

Dysphaagia Guest Speakers

Other:

Must include complete course number and name

 

 

6/08

12/08

5/09

 

 

 

Standard area

 

                       

Yes/No

Yes/No

Yes/No

Missing in Course Area

Missing in Lab Area

Comments

Standard IV-G: The applicant for certification must complete a program of study that includes clinical experiences…. skills may be demonstrated through successful performance on academic course work and examinations, independent projects, or other appropriate alternative methods):

 

    -Student has had one or more                         

    clinical experience in each area

               

  -Practicum date and location 

 noted for each area                                                                                                                  

 

 

 

Articulation

Fluency

Voice

Rec/Exp Lang

Hearing

Swallowing

Cognitive

Social aspects

Comm. Modalities

Fluency: Segmental Analysis

AAC:AAC Justification Report

Early Intervention: Eval. Report

Early Intervention: Poster Presentation

Clinic I: Diagnostic practicum lab

Clinic I: Ethics Lab

Clinic I: Evidence-based practice lab

Dysphagia: Tx Efficacy Research

Other:

Must include complete course number and name

Additional Comments:

 

Verified by: ___________________________________ Date: _____________________________

 

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