Application for Chartered membership and/or Full Division membership

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Application for Chartered membership and/or Full 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 those who have completed Society-accredited postgraduate professional training in psychology, e.g. a Society-accredited Doctorate in Clinical Psychology. If you re not currently a Society member we will also assess your eligibility for Graduate membership with the Graduate Basis for Chartered membership (GBC). If you re applying on the basis of research in psychology, teaching psychology or non-uk qualifications and experience you should use one of our alternative forms specific to these areas (available from www.bps.org.uk/chartered). 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 proof of my qualification(s)? You will need to provide copies (we do not require original documents) of your psychology qualifications. Transcripts (the list of subjects and grades) are required for all undergraduate/conversion qualifications. Translations are required for any documents not in English. Current members should not need to resubmit documents for qualifications the Society has seen previously. If your name differs from that on your certificates/transcripts, please provide evidence e.g. a copy of your marriage/partnership certificate, deed poll certificate, etc. Do I need references? References are not normally required, however we may request these should it be considered necessary. How long does the application process take? The average time for Chartered membership applications to be approved is around 7 working days. 1

How much do I need to pay? You will need to pay the relevant subscription and any processing fees. The total amount due will vary depending on whether you are applying to join the Society, upgrade current membership and/or join a Division, member Network or both. Full details of all of the rates and fees are on page 4 of this document. We can only process applications where full payment has been made. We cannot run Direct Debit payments for applications. If you are not eligible for membership you will receive a refund of the subscription fee(s) but the application processing fee is non-refundable. Please note: The Society s subscription year runs from January to December and future subscription payments are due in January regardless of when you first joined. A full year s subscription is always required upon application. If you join between: Jan June you will be charged the yearly rate which will all be allocated to this year s subscription. Jul Sept you will be charged the yearly rate but half the payment will be carried forward reducing the amount due from you for the following year. Oct Dec your full payment will be allocated to the following year. Membership will renew automatically at the end of each calendar year unless you notify the Society in writing (email accepted) that you wish to discontinue membership. Any balance arising from a change in subscription rates will be due on 1 January immediately following your admission. Can I also join a Member Network? The Society has a number of Member networks to further members professional and scientific interests. Benefits include receipt of specialised journals, discounts on registration for events, opportunities to participate in meetings, and much more. Belonging to a Member Network makes your Society membership more relevant to you and you can join as many as you like. Each Network s fee is shown on page 4; for any you chose to join their fee(s) will be added to the Society application and subscription fee required. For further information on each Member Network please visit www.bps.org.uk/member-networks 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 Society s Leicester office with confirmation of your qualifications. Do you keep paper record of my application? Your application information will be input to, and held in, our secure electronic database. We will not retain paper record of your application, certificates, etc. this will be securely destroyed within two weeks of your application s approval, withdrawal or expiration of the time period to lodge an appeal. Queries e: applications@bps.org.uk t: +44(0)116 252 9911 2

I wish to apply for (please tick) Chartered membership Full membership of the Division of Member Network Membership (please specify) Contact details - Please complete using BLOCK CAPITALS and black ink Title (please circle) Surname Forenames BPS membership number (if known) Contact address (Where no Chartered Member List address is entered, this address will be available to the public unless otherwise indicated below) Postcode Mr Mrs Miss Ms Dr Professor No Title Other Previous surname (if applicable) Date of birth Approx lapse date if you are rejoining Chartered Member List address (this address will be available to the public typically your work address) Postcode This address to be made public? Yes No Email Mobile telephone Daytime telephone Fax Number If you have a Discount Code please enter here: Qualifications - Applicants must include documentary proof of qualifications Title and classification of Name of awarding University or Institution Start date qualification Date of award or expected completion e.g. BSc Hons Psychology 2:1 University of Newcastle Sept 1997 July 2000 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 Society s website www.bps.org.uk 3 Signed: Date: Communication The BPS is committed to respecting your right to privacy and data security and to handling the information you provide responsibly within the requirements of the UK Data Protection Act. Our full privacy policy is available at: www.bps.org.uk/privacy-policy or by written request to Enquiries at the Society offices. Email: By ticking this box you agree that the Society can use your email address to communicate with you Tick this box if you wish to receive occasional emails from selected third parties

Payment The subscription and application fees info shows the amount you need to pay. Payment methods are detailed below: Cheque: Made payable to The British Psychological Society. Telephone: We can call you to request payment once we receive your application. Yes, please call me to request payment (please tick) Online: We can provide detail of how to pay online once we receive your application. Yes, I would like to pay online (please tick) Subscription and application fees 2018 We can only process applications where full payment has been made. We cannot run Direct Debit payments for applications. If you are not eligible for membership you will receive a refund of the subscription fee(s) but the application processing fee is non-refundable. Non-members Those applying to join the Society will need to pay 196 ( 134 annual subscription plus a one off nonrefundable 62 application processing fee). Current members There is a one off non-refundable 41 application processing fee for Chartered membership. Divisional/Member Network membership If you are applying to join a Division, Member Network or both you will also need to make payment for that. The rates for each are as follows: Divisions Clinical Psychology (DCP) 85 or 32* Health Psychology (DHP) 30 Counselling Psychology (DCoP) 45 or 35* Neuropsychology (DoN) 30 Educational and Child Psychology Occupational Psychology (DOP) 45 (DECP) 40 Scottish Division of Educational Sport and Exercise Psychology 30 Psychology (SDEP) (DSEP) 35 Forensic Psychology (DFP) Academics, Researchers & 35 Teachers in Psychology (DARTP) 15 Sections Cognitive Psychology 15 Psychology of Education 10 Community Psychology 10 Psychology of Sexualities 15 Consciousness & Experiential Psychology of Women Section 10 Psychology 15 Crisis, Disaster & Trauma 10 Psychotherapy 15 Developmental Psychology 10 Qualitative Methods In Psychology 10 History & Philosophy of Psychology 12 Social Psychology 15 Mathematical, Statistical & Computing 10 Transpersonal Psychology 10 Psychobiology 10 Special Groups Psychology & Social Care 15 Independent Practitioners 10 Coaching Psychology 12 * The reduced Full rate is only available for the first two years after successfully completing a Society approved three year postgraduate training in clinical/counselling psychology. Queries: e: applications@bps.org.uk t: +44(0)116 252 9911 4

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 5

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: B Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background, please state below: C Asian, Asian British, Asian English, Asian Scottish, Asian Welsh Indian Pakistani Bangladeshi Any other Asian background, please state below: D Black, Black British, Black English, Black Scottish, Black Welsh Caribbean African Any other Black background, please state below: E Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other ethnic group Chinese Any other background, please state below 6