Please Ensure This Is Correct As an Incorrect Address Will Delay Your Application

APPLICATION FORM FOR THE REGISTER OF COACHING PSYCHOLOGISTS
SECTION ONE
Name:Membership No.
E-mail address (for inclusion on Register):
PLEASE NOTE THAT THE POSTAL ADDRESS THAT ALREADY APPEARS ON YOUR ENTRY IN THE LIST OF CHARTERED MEMBERS WILL ALSO APPEAR AGAINST YOUR ENTRY IN THE REGISTER OF COACHING PSYCHOLOGISTS
SECTION TWO
Please indicate in which of the following areas of Coaching psychology you practise:
Business
Executive
Health/Wellbeing
Sport
Life
Personal
Career
Leadership
Performance
 Stress Management
 Team
 Mentoring
 Retirement coaching
 Educational
 Other (please specify)
………………………………………………………………………………………………
SECTION THREE - DECLARATION

I recognise that in applying for this registration I am committed to the Coaching Psychology knowledge and experience framework, and undertake to put it into practice.

Signed: Date: / /
SECTION FOUR - REFEREE’S DETAILS
●You must supply details of two referees who are Chartered Psychologists and are able to attest to your knowledge and skills in Coaching psychology, with reference to the agreed framework. If your Referees are able to complete the attached Reference Forms then this should allow us to process your application more quickly. However, if you are unable to send references with your application we can raise these ourselves.
1st Referee’s Name
(Current Supervisor)
Email Address /

Please ensure this is correct as an incorrect address will delay your application

Membership No. (if known/appropriate)
2nd Referee’s Name
Email Address / Please ensure this is correct as an incorrect address will delay your application
Membership No. (if known/appropriate)
SECTION SIX - PAYMENT
The fee is £87.00 (one off application fee £51 & Annual Register fee £36). Payment can be made via:
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) 

Register of Coaching Psychologists

REFERENCE FORM

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NoIf no, please give details (continue on a further sheet if necessary)

......

3.Are you able to attest to the applicant’s engagement and experience regarding the Coaching Psychology knowledge and experience framework(attached), and could you please refer to this in the space provided below?

YesNoIf no, please also give details (continue on a further sheet if necessary)

......

Signed:...... Date:......

Register of Coaching Psychologists

REFERENCE FORM

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NoIf no, please give details (continue on a further sheet if necessary)

......

YesNoIf no, please also give details (continue on a further sheet if necessary)

......

Signed:...... Date:......

Coaching Psychology knowledge and experience framework

The following items constitute the demonstrable requirements of understanding and application of psychological coaching. Coaching Psychologists will demonstrate that they:

Have knowledge of the contexts (including professional, ethical and legal) within which Coaching Psychology is provided.
Understand the responsibility and limitations of the professional role, including maintaining boundaries, confidentiality and accountability.
Understand issues pertaining to difference and diversity in Coaching Psychology.
Can address ethical issues in Coaching Psychology and understand how these may affect the coaching process, including power differentials.
Understand what is meant by a safe environment in practising Coaching Psychology and the factors that affect the development of a coaching relationship.
Have knowledge and experience of different coaching and Coaching Psychology frameworks, orientations and methods.
Have skills and experience in contracting and negotiating with clients.
Have skills and experience in establishing, developing and maintaining a coaching relationship.
Have knowledge of the structure of professional Coaching Psychology experience including assessment procedures, interventions and the changing expectations regarding the practitioner’s role.
Have knowledge of theories of management and other specialisms relevant to the application of Coaching Psychology.
Have knowledge of the various mediums for providing psychological coaching (self report, psychometrics, CDs, colleague reports and appraisals)
Have knowledge of techniques and processes to evaluate Coaching Psychology, including receiving feedback from the client on their perceptions of progress and their expectations of outcomes of Coaching Psychology.
Maintain up-to-date awareness of the development of Coaching Psychology theory and practice and engage in Coaching Psychology CPD.