`ZIMBABWE PSYCHOLOGICAL ASSOCIATION

MEMBERSHIP APPLICATION FORM

When you have completed the form please return it to: email to:

Or mail to:

C/O Industrial Psychology Consultants

1 Grosvenor Road

Highlands

Harare

Frequently asked questions

Do I have to send in proof of my qualification(s)?

Yes, you will need to provide certified copies of your psychology qualifications. Transcripts (with a list of subjects and grades you have undertaken) are required. Translations are required for any documents not in English.

Should your name differ from that on your certificates/transcripts, etc. please provide evidence such as a copy of your marriage certificate, deed poll certificate, etc.

How much do I need to pay?

You will need to submit your first year subscription and application fee once your application has been approved.

How long does the application process take?

Usually, your application will be processed within two (2) weeks.

Can I email the form to the Association?

Yes you can provided all requirements are met and all required documents are sent as scanned copies together with the form.

Why should I also join a Division as a general member?

The Association has different 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 invitations to special events, practice and research updates and opportunities to participate in branch meetings, and much more. Belonging to a Division makes your Association membership more relevant to you.

If you have any queries regarding your application:

email: .

CONTACT DETAILS: Please complete using block capitals and black ink
Title (Please Circle): / Mr Ms Dr Prof Other
Surname: / Previous Surname:
(If Applicable)
Forename:
Previously a Member? / ZPA Membership Number (If Known)
AHPC Number (if you are registered) / Membership Type (Tick one option)
Honorary Member ……… Full Member…….
Associate…………. Intern……………
Graduate………….. Student…
DIVISION (Tick applicable or delete inapplicable)
Clinical...... Counselling…………..
Educational…………………. Applied Research…………..
Occupational/Industrial……………....
Other (specify)……………………………………………………………………………………
Contact Address:
Cell Phone: / Daytime Landline:
Email Address:
QUALIFICATIONS (Please Attach Documentary Proof of Qualifications)
Title and Classification / Awarding Institution
If you completed a dissertation/project, please enter the title below
Names and Contact details of two Referees
1.
2.
Annual Membership Fees:
Corporate Members: Corporates with an interest in the development of psychology / $50
Full Members: Persons with at least a Master’s degree in psychology and shall include Fellows and Honorary Members / $40
Associate Members: Persons with an Honours or a Bachelor’s degree with a major in psychology / $20
Affiliate Members: Persons with an interest in or working in the field of psychology or related areas / $20
Foreign Affiliate: Persons living abroad who are members of an acknowledged foreign psychological association and/or who can provide proof of qualifications in the field of psychology as required by Council / $20
Student Members: Registered students of psychology at the undergraduate level. / $5
NB: PLEASE SEND A SCANNED COPY OF YOR DEPOSIT SLIP ALONG WITH YOUR APPLICATION FOR YOU TO BE REGISTERED AS A MEMBER. / Banking Details:
Bank: Stanbic Bank
Account Name: Zimbabwe Psychological Association
Branch: Park Lane Branch
Account Number: 9140000202737
For accounting purposes, once payment has been made, please scan deposit slip and email it to for reconciliation.
DECLARATION
I declare that all the information entered in this form and the supporting documentation is true and accurate.
Signed:...... Date:......