ICP :: NZ Psychological Society

Name Required

Email address Required

Phone Number Required

Membership Category Sought Required

Full ICP Member

Affiliate Member

Registration Details Required

Registered with the NZ Psychologists Board

Registered in the Clinical Psychology Scope of Practice

Holder of a current Annual Practicing Certificate

Please provide your NZ Psychologists Board Registration Number Required

Please state your year of registration in the Clinical Psychology Scope: Required

QUALIFICATIONS

This information is useful for us to know more about our membership, although is optional and does not affect your application

NZ Postgraduate Diploma in Clinical Psychology/ Professional Doctorate in Clinical Psychology/ MA Applied in Clinical Psychology (VUW only)

Yes

Please list your relevant qualifications and the institution obtained from:

Recognised Overseas Equivalent to NZ Postgraduate Diploma / Doctorate in Clinical Psychology

Please list your relevant qualifications and the institution and country obtained from:

Complaints: I have not had complaints laid against my clinical practice that have resulted in formal investigation by either a professional or statutory body, and I am not aware of any complaints being in process.*

True

False

If false, please send details of the complaint(s) in a sealed envelope to National Office.

Declarations By clicking on "Submit", I hereby declare that all of the following declarations are true. Required

The information provided in this application is accurate and honest to the best of my knowledge.

I agree to abide by the Rules of the ICP and the New Zealand Psychological Society Inc. and the Code of Ethics 2002.

I am a financial NZPsS member

ICP

Institute of Clinical Psychology

QUALIFICATIONS