Speech Language Pathology Assistant Competencies
SLPA: ______________________________
Date: _______________
Supervising SLP: ___________________________________
ASHA #_________________
Facility/School: ___________________________
Please complete the following evaluation form by circling the appropriate number in the
Rating column according to the following criteria:
1 = No knowledge or experience about this topic
2 = Knows little about this topic and needs lots of guidance
3 = Understands this topic, but still needs some guidance to be independent
4 = Knows this information and completes this activity independently
Interpersonal Skills
Rating
Appropriately addresses clients, families, caregivers and other
1
2
3
4
professionals
Greets clients and families appropriately and identifies self as an SLPA
1
2
3
4
Restates information & concerns from client, family, or caregivers to
1
2
3
4
supervising SLP as appropriate
Directs client, family or caregiver to supervisor for clinical information
1
2
3
4
Is courteous & respectful in various communication situations
1
2
3
4
Uses language appropriate to client, family, or caregiver’s educational
1
2
3
4
level, communication style, developmental age, communication
disorder, and emotional state
Demonstrates awareness of client needs and cultural values
1
2
3
4
Conduct in Work Setting
Rating
Recognizes own limitations within the ASHA-approved SLPA job
1
2
3
4
responsibilities
Upholds ethical behavior & maintains confidentiality
1
2
3
4
Maintains client records in accordance with confidentiality
1
2
3
4
regulations/laws as prescribed by supervising SLP
Discusses confidential client information only with direction of the SLP
1
2
3
4
Identifies self as an assistant in all written and oral communication
1
2
3
4
Demonstrates ability to explain to SLP the scope of information that
1
2
3
4
should be discussed with clients, families, caregivers, and professionals
Arrives punctually and is prepared for work-related activities
1
2
3
4
Completes documentation and other tasks in a timely manner
1
2
3
4
SLPA
C ompetencies
University
o f
V ermont
1