Vous êtes sur la page 1sur 9

Application for Chartered membership and Division

membership
When you have completed the form please return it to:
The British Psychological Society
St Andrews House
48 Princess Road East
Leicester LE1 7DR

Frequently asked questions


Who is this form for?
This application form can be used by candidates with qualifications and experience undertaken outside the
UK who wish to apply for Chartered membership of the Society. It is also possible to apply for membership
of a Division.

Will my details appear on your website?


Anyone admitted to Chartered membership will appear on our online List of Chartered members allowing
people to check your Chartered Status with the Society. The standard format is for the list to show your
name and address, the form enables you to specify which address you are happy to be made public.
Should you not want any address to appear on the list please tick No in the Contact address field and
leave the Chartered member list address field blank.

Do I have to send in my certificates?


You should provide copies of your psychology qualifications. Where applicable, transcripts (a list of
subjects, and grades, you have undertaken) are required for All non-UK qualifications. If you are
Registered/Licensed outside the UK please submit a copy of your most recent registration/licensing
certificate.
Translations are required for any documents not in English. We will not usually require original documents.
However, we do reserve the right to request originals.
If your name differs from that on your certificates/transcripts, etc. please provide evidence such as a copy
of your marriage/partnership certificate, deed poll certificate, etc.
There should be no need to resubmit documents for qualifications the Society has seen previously.
Some candidates will also need to attach additional information. For example, if you are applying on the
basis of a research PhD in psychology you should attach a copy of the abstract and give details of who the
supervisors and external examiners were.

Will work experience in the UK be considered?


We can only consider work experience gained outside the UK. This work needs to have been as a
psychologist and carried out under regular supervision. It is often useful to include a CV or statement to
detail the type of work and frequency of supervision.

Who can propose my application?


If you do not know two Chartered members of the Society who can comment on your training/experience
please give the names and contact details of two psychologists, one of whom should be able to confirm the
details of your professional training and one who will be able to comment on your professional work
following training, it is assumed they will be from outside the UK. Blank reference forms are available at
the end of this document for your proposers to complete; completed reference forms may be submitted
with the application. Please note that unless instructed otherwise the Society will write for references for
any application received without references.

How much do I need to pay?


You will need to submit the relevant subscription and any processing fees with your application. The total
amount due will vary depending on whether you are applying to join the Society, upgrade current
membership and/or join a Division. Full details of all of the rates and fees are on page 5 of this document.

How long does the application process take?


Some applications may have to be assessed/approved by external advisors to the membership team.
From receipt the average time for an application to be completed is 5 weeks.

Why should I apply for membership of a Division as well as Chartered membership?


By joining a Division you receive a more relevant membership experience. Division members receive
regular newsletters from the Division, are informed of relevant events or conferences and can keep up to
date with developments in their discipline.

Can I email the form to the Society?


Sorry, we cannot accept an email application. The application form must be signed so you will need to
print this form off and post it to the Societys Leicester office with confirmation of your qualifications.

Queries
e: applications@bps.org.uk
t: +44(0)116 252 9911

I wish to apply for (please tick)


Chartered membership
General membership of the Division of ____________________
Contact details - Please complete using BLOCK CAPITALS and black ink
Title (please circle)

Mr Mrs Miss Ms Dr Professor No Title Other

Surname

Previous surname
(if applicable)

Forenames

Date of birth

BPS membership
number (if known)
Contact address

Approx lapse date


if you are rejoining
Chartered
Member List
address

(Where no Chartered
Member List address
is entered, this
address will be
available to the
public unless
otherwise indicated
below)

(this address will


be available to the
public typically
your work
address)
Postcode

Postcode
This address to be
made public?

Yes

No

Email address

Daytime
telephone

Mobile telephone

Fax number

Qualifications - Applicants must include documentary proof of qualifications


Title and classification of
qualification

Name of awarding University or Institution

Start date

Date of award or
expected completion

e.g. BSc Hons Psychology

UNISA

Feb 2002

May 2006

Employment- Please list the principal appointments held OUTSIDE THE UK since obtaining
qualifications in psychology (continue on a separate sheet if necessary). It is often useful to include a CV.
Job title/occupation

Employer

Date from

To

Registration/licensing outside the UK - Please list below any registration or licensing you
hold or have held
Name of registration/licensing authority

Grade of registration/licensing

Date from

To

Proposers - You should not send your form containing payment card details to your proposers. If paying
by card the details should be entered after the form has been signed.
Please give the names and contact details of two psychologists, one of whom should be able to confirm the details
of your professional training and one who will be able to comment on your professional work following training.
I, the undersigned, propose this applicant for Chartered membership/membership of a Division. I certify that to the
best of my knowledge and belief, the information the applicant has given is correct.
Name:

Name:

BPS number (if applicable):

BPS number (if applicable):

Address:

Address:

Email:

Email:

Fax:

Fax:

Signature:

Signature:

In signing the form, proposers are certifying that the information given is correct, not that the applicant is definitely eligible.

Declaration
I declare that the information given in this form and any supporting documentation is true and accurate. I have read
the Member Conduct Rules and undertake to abide by and operate within them at all times. The Member Conduct
Rules are available on the Societys website www.bps.org.uk

Signed:

Date:

Communication
E-mail addresses may be used by the Society to communicate with you instead of by post in matters relating to your
membership. Please tick if you also wish to receive messages from carefully selected third parties.

We may also from time to time send material by post from carefully selected third parties. If you do not wish to receive
this, please tick here.
The Society will not sell or give your personal details to any third parties without first seeking your permission or we are
legally instructed to do so under UK law.

Payment
The appended subscription and application fees sheet has details of the amount you need to pay. Please include a
cheque made payable to The British Psychological Society for the relevant fees or confirm the amount and give
your debit/credit card details below. Unfortunately payment for this application cannot be done by Direct Debit.
I enclose a cheque for _____ or please charge my Credit/Debit card

_____

Name of cardholder: _________________ Cardholders signature: ____________________


Card issuer (please circle)

Visa

Amex

MasterCard

Delta

Switch/Maestro

Card number
Valid from: ____/____ Expiry date: ____/____ Issue No (switch only):

____

Please enter the three/four digit CVV number:


Visa, MasterCard, and Maestro, the code is the last three-digit number located on the back of your card on or
above your signature line. American Express, it is the four-digit number on the front.

Subscription and application fees 2014


We can only process applications where full payment has been made. This needs to be done by cheque,
card or postal order. We cannot run Direct Debit payments for applications. If you are not eligible for
membership you will receive a refund of the subscription but the application processing fees are nonrefundable.
Please note: The Societys subscriptions year runs from January to December and subscriptions are
charged on a calendar year basis, not according to the anniversary of your admission to membership. A
full years subscription is always due upon application. However, if you are admitted between July and
September in any year, half of your payment will be carried forward and used to reduce the amount due
from you for the following year. The outstanding balance will be payable on 1 January immediately
following your admission. If you are admitted in the final quarter of the year (i.e. from 1 October) the whole
of your payment will be carried forward to the next year. Any balance arising from a change in subscription
rates will be due on 1 January immediately following your admission.

Non-members
Those applying to join the Society will need to pay 186 (126 annual subscription plus a one off 60
application processing fee).

Current members
There is a one off 40 application processing fee for Chartered Membership.

Divisional membership
If you are applying to join a Division you will also need to enclose payment for that. The rates for each
Division are as follows:
Division

Fee

Clinical Psychology

16

Counselling Psychology

35

Educational and Child Psychology

30

Scottish Educational Psychology

30

Forensic Psychology

15

Health Psychology

Neuropsychology

15

Occupational Psychology

15

Sport and Exercise Psychology

15

Academics, Researchers & Teachers in Psychology

15

If you have any queries regarding your application:


e: applications@bps.org.uk
t: +44(0)116 252 9911

Reference form (completed form may be enclosed with application)


Chartered membership
General membership of the Division of __________________________
Applicant:

Mem No:

Referee:

Mem No:

1.

I have known the applicant for years and my relationship with the applicant is
as a supervisor/work colleague/other (please give details).

............................................................................................................................................
2.

To the best of your knowledge is the information given on the application form correct?

Yes

No
If no, please give details (continue on a further sheet if
necessary)

............................................................................................................................................
............................................................................................................................................
3.

Given the criteria (below) and form, do you support the candidates application?

Yes

No
If no, please give details (continue on a further sheet if
necessary)

............................................................................................................................................
4.

Please add additional comments regarding the applicants suitability (continue on a separate
sheet if necessary)

............................................................................................................................................
............................................................................................................................................
Signed:

Date:

Eligibility for Chartered membership


To be included on the list of Chartered members an applicant shall be a member of the Society
and shall have established the Graduate Basis for Chartered Membership (GBC). It is acceptable
for an applicant to apply simultaneously for Graduate membership, GBC and for Chartered
membership.
Statute 5(2)(b) sets out the criteria for Chartered status. These require that, since the date of first
becoming eligible for GBC an applicant:
shall have successfully completed a period of study of, or practice in, psychology, or a
combination of both, acceptable to the Board of Trustees, the relevant period being of three years
duration if full-time or an equivalent period if part-time or such greater period as the Board of
Trustees may stipulate.

Please note: Further information about each Division can be found on our website
www.bps.org.uk/networks/divisions or call the Membership Team on +44(0)116 252 9911

Reference form (completed form may be enclosed with application form)


Chartered membership
General membership of the Division of __________________________
Applicant:

Mem No:

Referee:

Mem No:

1.

I have known the applicant for years and my relationship with the applicant is
as a supervisor/work colleague/other (please give details).

............................................................................................................................................
2.

To the best of your knowledge is the information given on the application form correct?

Yes

No
If no, please give details (continue on a further sheet if
necessary)

............................................................................................................................................
............................................................................................................................................
3.

Given the criteria (below) and form, do you support the candidates application?

Yes

No
If no, please give details (continue on a further sheet if
necessary)

............................................................................................................................................
............................................................................................................................................
4.

Please add additional comments regarding the applicants suitability (continue on a separate
sheet if necessary)

............................................................................................................................................
............................................................................................................................................
Signed:

Date:

Eligibility for Chartered membership


To be included on the list of Chartered members an applicant shall be a Member of the Society
and shall have established the Graduate Basis for Chartered Membership (GBC). It is acceptable
for an applicant to apply simultaneously for Graduate membership, GBC and for Chartered
membership.
Statute 5(2)(b) sets out the criteria for Chartered status. These require that, since the date of first
becoming eligible for GBC an applicant:
shall have successfully completed a period of study of, or practice in, psychology, or a
combination of both, acceptable to the Board of Trustees, the relevant period being of three years
duration if full-time or an equivalent period if part-time or such greater period as the Board of
Trustees may stipulate.

Please note: Further information about each Division can be found on our website
www.bps.org.uk/networks/divisions or call the Membership Team on +44(0)116 252 9911

Confidential

Equal opportunities monitoring form


As a professional body and as an employer, the British Psychological Society is committed
to ensuring equal opportunities. For this reason we encourage all applicants to complete
this equal opportunities form. Please note that it is not compulsory for you to provide this
information.
You data is held securely and satisfies the confidentiality requirements of the Data Protection
Act. We will only ever provide aggregated data and will ensure that no individual can be
identified by analyses.
Please the box or write in your answers, as appropriate

Disability (tick as many boxes as appropriate)


Do you have a:
Learning impairment?
Mental impairment?
Physical impairment?
Sensory impairment?
Other impairment?
(please explain)

Does your impairment mean that you have problems with your usual
activities?
Do you often have to ask for changes to be made in order that you can
take part in activities equally?
Please indicate the adaptations or personal assistance required to enable you
to carry out your daily activities, e.g. provision of a note taker, support worker,
etc.

Gender
Female
Male

Confidential
Ethnic origin - What is your ethnic group?
Choose one section from A to E then tick the appropriate box to indicate your
cultural background
A

White
British
English
Scottish
Welsh
Other, please state below:

Irish
Any other white background, please state below:

Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background, please state below:

Asian, Asian British, Asian English, Asian Scottish, Asian Welsh


Indian
Pakistani
Bangladeshi
Any other Asian background, please state below:

Black, Black British, Black English, Black Scottish, Black Welsh


Caribbean
African
Any other Black background, please state below:

Chinese, Chinese British, Chinese English, Chinese Scottish,


Chinese Welsh or other ethnic group
Chinese
Any other background, please state below

Vous aimerez peut-être aussi