Knowledge Areas and Fields of Practice Included in This Submission

/ QUALIFICATION IN OCCUPATIONAL PSYCHOLOGY(STAGE2)

REGISTRATION FOR ASSESSMENT FORM

Note: Candidates must apply to registerby the first of the month preceding their assessment date. Please refer to the section on Registration for assessmentin theCandidate Handbook.

Candidate’s Name:
Candidate’s Membership Number: / Candidate’s Assessment Number:
Daytime telephone number:
Email address:
Supervisor’s name:
Supervisor’s Membership Number: / Supervisor’s HPC registration number:

Please tick the month for which you are applying to register for assessment on this occasion (and refer to the website for details of assessment fees):

Type of Submission / Annual Submission /  / Resubmission / 
February /  / June /  / November / 
March /  / July /  / December / 
April /  / September / 
May /  / October / 

Knowledge areas and fields of practice included in this submission

Knowledge areas / Tick if included / Tick if included
Human Machine Interaction / Counselling and Personal Development
Design of Environment and work: Health and Safety / Training
Personnel Selection and Assessment / Employee Relations and Motivation
Performance Appraisal and Career Development / Organisational Development and Change
Fields of Practice / Tick if included / Fields of Practice / Tick if included
Work and the Work Environment / The Organisation
The Individual / Training

Note: A separate registration form must be completed in advance of the registration deadline for each assessment round in which work will be submitted. It is the candidate’s responsibility to register each time an assessment round of the Qualification in Occupational Psychology (Stage 2) is taken. It is essential that your Supervisor countersigns this form.

Signature of candidate: / Date
Signature of Supervisor: / Date

The whole form should be returned with the appropriate fees as indicated in the fee sheet to:

The Chief Supervisor/Registrar,

Qualification in Occupational Psychology (Stage 2),

The British Psychological Society,

48 Princess Road East,

Leicester LE1 7DR.

Please note all payment sections need to be completed and forwarded to the Qualifications Officer with your registration for assessment form.

Payment for Annual Submission/Resubmission(please see the website for details of current fees)

Payment can be made by one of the following methods:
1I enclose a cheque for £……………….. (please make the cheque payable to The BritishPsychological Society)
2I would like you to invoice my employer and provide the following details:
Person and address to send invoice to: …………………………………………………….……..
…………………………………………………………………………………………………………..
…………………………………………………………………………………………………………...
Purchase Order Number: …………………………………………………………………..………..
Please note that younot normally receive your submission decision until all fees are paid
3Credit/debit card. If you would like to pay using a credit or debit card then please telephone Angie Cain on 0116 252 9518 between 2 pm and 4 30 pm Monday to Friday to make a payment. Please leave a message on the voicemail if necessary and you will be called back.

Payment of Annual Maintenance Fees (please see the website for details of current fees)

4Direct Debit. I wish to pay my Annual Maintenance Fee by Direct Debit and have completed the form attached

St Andrews House

48 Princess Road East

LEICESTER, LE1 7DR

Tel: 0116 252 9505

Name:______

Address:______

Postcode:

BPS Reference Number:

DIRECT DEBIT GUARANTEE

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society

If the amounts to be paid or the payment dates change, The British Psychological Society will notify you ten working days in advance ofyour account being debited or as otherwise agreed.

If an error is made by The British Psychological Society or your bank or building society you are guaranteed a full and immediate refund from your branch of the amount paid

You can cancel a Direct Debit at any time by writing to your bank or building society. Please also send a copy if your letter to us.

To pay by Direct Debit, simply complete the tear-off slip below, and return it to the Society.

/ Instruction to your Bank or Building Society to pay by Direct Debit. Please complete and return to: The British Psychological Society, St Andrews House, 48 Princess Road East, LEICESTER, LE1 7DR / Originator’s Identification Number: 993462 /

Name(s) of account holder(s)

Bank or Building Society

account no.

Name and full address of your Bank or Building Society

Branch Sort Code

.BPS Examinations Ref No

Instruction to your Bank or Building Society

Please pay The British Psychological Society Direct Debits fromthe account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I

understand that this instruction may remain with The British Psychological Society, and if so, details will be passed electronically to my Bank/Building Society.

Banks and Building Societies may not accept Direct Debit

instructions for some types of account.

/ Qualification in Occupational Psychology (Stage 2)

Feedback

As part of the on-going improvements plan for the Qualification, we value your comments on our processes. Therefore, as part of this process we would askyou to complete the feedback form

Assessments

What type of submission are you making?

1st Annual Submission / 2nd Annual Submission / 3rd Annual Submission / Final Submission / Resubmission
 /  /  /  / 

Your Qualification Handbook and Assessment Guidelines contains guidelines for preparing work for assessment. Were these guidelines helpful?

Yes
No

Is there anything you feel it would be helpful to add to the guidelines?

Your Co-ordinating Supervisor should have provided support in preparing your work for assessment. Were they helpful?

Yes
No

Is there anything you feel it would be helpful for your Co-ordinating Supervisor?

This section is for candidates who are on their second annual or subsequent submission

Our aim is to get work assessed and returned to you, with feedback where appropriate, within 12 weeks of its submission.

Has this 12 week deadline been met in relation to your work?

Yes
No

Has your work been returned more quickly than this?

Yes
No

If it has taken longer than 12 weeks to return your assessed work:

Were you informed of the delay in advance?

Yes
No

Were you given reasons for the delay?
Yes
No

Other than the delay itself, were you happy with the service you received?
Yes
No

What could be done to improve the assessment process?

Did you find the assessor’s feedback helpful, clear and understandable?

Yes
No

If no, what would have been helpful to include?

Is there anything else you would like to tell us about your experience of having your submission assessed?

Supervision Process

Is your Co-ordinating Supervisor external to your organisation?

Yes
No

If yes, explain why

If your Co-ordinating Supervisor is external to your organisation, has your Co-ordinating Supervisor appointed a Designated Supervisor to assist you with your training?

Yes
No

Do you have regular quarterly face to face meetings with your Co-ordinating Supervisor on a one to one basis?

Yes
No

If no, give reasons

Did your Co-ordinating Supervisor give feedback on your current assessment in a timely manner before your submitted?

Yes
No

If no, give reasons

If this is your second or subsequent assessment, did your Co-ordinating Supervisor give advice on the comments from the Assessors?

Yes
No

If no, give reasons

If there is anything else you would like to tell us about your Co-ordinating Supervisor

If you have a Designated Supervisor is there anything else you would like to tell us about your Designated Supervisor

Anything else

If there is anything else you would like to tell us about the administration of the qualification, please do so here:

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