Graduate Member application form

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

Do I have to send in proof of my qualification(s)? Yes, you will need to provide copies (we do not require original documents) of your psychology qualifications. Transcripts (a list of subjects, and grades, you have undertaken) are required for all non-UK qualifications. Translations are required for any documents not in English 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. Some Society accredited degree courses have conditions which must be met for the qualification to confer eligibility for the Graduate Basis for Chartered Membership (GBC). In these cases you will generally need to submit a copy of your academic transcript so that the Society can see what modules you have taken. If you are unsure whether there were conditions on your course then you can check this on our website at www.bps.org.uk/accreditation How much do I need to pay? You will need to submit your first year subscription and application fee with your application. Full details of the fees are on page 3 of this document. How long does the application process take? Usually, your application will be processed within two weeks. Can I email the form to the Society? No. You must sign the application form and enclose proof of qualifications, so you will need to print this form off and post it to the Societys Leicester office above. Why should I also join a Division as a general member? The Society has ten professional Divisions of psychology. Those with an interest in one of these areas of psychology can join that Division as a general member. Benefits include receipt of specialised journals, discounts on registration for divisional events, opportunities to participate in branch meetings, and much more. Belonging to a Division makes your Society membership more relevant to you. If you have any queries regarding your application: e: applications@bps.org.uk t: +44(0)116 252 9911

Application form for Graduate membership of the Society with the Graduate Basis for Chartered Membership (GBC)
Contact details - Please complete using BLOCK CAPITALS and black ink
Title (please circle) Surname Forenames Previously a member? (please
tick)

Mr Mrs Miss Ms Dr Professor No Title Other Previous surname (if

applicable)

Date of birth Yes No BPS membership number (if known)

Contact address

Postcode Mobile telephone Email address Daytime telephone

Qualifications Please include documentary proof of qualifications

Title and classification of qualification Name of awarding university or institution Start date Date of award or expected completion

Please give the name of your degree in its original language (e.g. Ptychio, Diplom, etc.)

Dissertation/project if you completed a dissertation/project, please enter the title below

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: Communication

Date:

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 Subscription and application fees below details how much you need to pay. Please include a cheque for the relevant fees made payable to The British Psychological Society or confirm the amount and give your debit/credit card details below. I graduated within the last three years and wish to pay at the reduced subscription rate I am enrolled on the postgraduate qualification in the UK detailed in the qualifications section on the first page of the form and am not earning a taxable income. I would like to pay at the reduced subscription rate To also apply for general membership of a Division please circle below the Division you would like to join and add the relevant subscription to your payment amount. Division of Clinical Psychology (DCP) Division of Counselling Psychology (DCoP) Division of Educational and Child Psychology (DECP) Scottish Division of Educational Psychology (SDEP) Division of Forensic Psychology (DFP) 16 35 17 30 15 Division of Health Psychology (DHP) Division of Neuropsychology (DoN) Division of Occupational Psychology (DOP) Division of Sport and Exercise Psychology (DSEP) Division for Teachers and Researchers (DTRP) 9 15 15 15 15

I enclose a cheque for

or please charge my Credit/Debit Card

Name of cardholder: _________________ Cardholders signature: ____________________ Card issuer (please circle) 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. Visa Amex MasterCard Delta Switch/Maestro

Subscription and application fees 2012

You can pay by cheque, card or postal order. We cannot run Direct Debit payments for applications. Applicants not eligible for membership will be given the opportunity to accept an alternative grade of membership, or receive a refund of their subscription but the 20 application fee is non-refundable. Fees are subject to change each year. As subscriptions run from January to December each year, anyone elected in the last quarter of each year (i.e. from 1 October), while still being required to pay upon application, is not charged a fee for the current year but will be charged at the new rate for the following year.

Graduate membership
You will need to pay a one off non-refundable application fee of 20 in addition to the annual subscription fee. The subscription rates are:

Standard Graduate membership fee is 139 (119 subscription and the 20 application fee). You can pay a reduced subscription rate fee for the first three years since graduating from the qualification which makes you eligible for Graduate membership. The fee is 80 (60 subscription and the 20 application fee). If you are a postgraduate student in the UK with a level of income below that necessary to pay income tax, you can pay a reduced subscription. The fee is 51 (31 subscription and the 20 application fee).

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

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