The ability to communicate is essential for human functioning: to express needs and wants, socialize with others, and participate in society. A communication disorder can significantly impact a child's overall future and success. While most children experience typical communication development, communication disorders are among the most common disabilities in the United States. The purpose of this proposed US-Brazil university consortium is to foster student exchange and curriculum development, as well as language and cultural skills, among US-Brazil speech-language pathology and audiology students. This consortium program will target cross-linguistic communication disabilities in children resulting from diverse etiologies, including cleft lip and/or palate, children with speech disorders, hearing impairment, and autism spectrum disorders (ASD). The consortium will include a strong alliance among the following partner institutions: East Tennessee State University (ETSU), University of Northern Iowa (UNI), Universidade Federal de Santa Maria (UFSM), and Universidade de São Paulo- Baurú (USP). Through this partnership, US and Brazilian students will be provided comprehensive and in-depth academic and clinical preparation in the cross-linguistic assessment and treatment of children with communication disabilities through internet-based coursework, webinars, educational visits to host institutions, and student exchange for a semester of study abroad. In addition to coursework, students will have the opportunity to participate in the delivery of clinical services in both urban hospital and university clinical settings in Brazil and the US. Students will also have the opportunity to learn the social and cultural differences that exist in the US and Brazil in working with families from an ecological model of child development (Bronfenbrenner, 1994), and to assess the impact of communication disabilities within the unique socio-cultural contexts of families and communities that exist in the two countries.