If so 1) give details, 2) include what feedback you received and 3) how you have responded to this.

Transcription

1 APPLICATION FOR PROFESSIONAL PROGRAMME IN COUNSELLING PSYCHOLOGY 2019 intake. Surname: Age on 13 August 2018: First names: Preferred name (to be called): Date of Birth: Postal Address: Paste your photo here Telephone(s): Fax: Name and contact telephone number of a friend/relative that we can contact if we are having difficulty contacting you: University at which you are currently studying or studied for your Psychology Honours/4 th Year BPsych degree: Have you applied for a place in this or other courses previously? If so 1) give details, 2) include what feedback you received and 3) how you have responded to this. Page 1 of 5

2 PERSONAL DETAILS Please indicate in which language(s) you can work with clients: Race: (racial categories are defined here in accordance with the Employment Equity Act of SA, No. 55 of 1998.) Sex/Gender: Nationality: Year UNDERGRADUATE PSYCHOLOGY RESULTS Average Marks for Psychology University (Please calculate the aggregated mark for your Psychology 1, 2 and 3 credits) Psychology 1 (Average of all Psychology 1 credits) Psychology 2 (Average of all Psychology 2 credits) Psychology 3 (Average of all Psychology 3 credits) % POSTGRADUATE PSYCHOLOGY RESULTS What is the status of your Honours Degree in Psychology? Current Completed Year University Psychology Honours Credits % If you have completed your honours degree in Psychology, what was your overall result? (%) OTHER POSTGRADUATE ACADEMIC QUALIFICATIONS Year University / College Course (For example, PGCSE, MA, PhD etc) Result Please remember to also attach a full academic record detailing all of the courses that you have completed at University. Page 2 of 5

3 RELEVANT WORK / VOLUNTARY EXPERIENCE IN COUNSELLING / HELPING / CARING (Describe your involvement) Page 3 of 5

4 SUMMARY OF RELEVANT LIFE EXPERIENCES Personal psychotherapy Have you been in personal therapy? What were insights gained? List training courses and workshops relevant to the helping professions Leadership experience Other relevant experience 1 Referee s Name, Telephone & Address. NAMES & DETAILS OF THREE REFEREES Position & Institution Capacity (How does this person know you and on what can she or he comment?) 2 3 PLEASE NOTE: You must send each referee a copy of the Referee Report Form, and your referees must send the completed form directly to us. Please inform your referees that the forms should reach us before the closing date of 15 June It is your responsibility to ensure that we receive the referee reports on or before the closing date. Page 4 of 5

5 ATTACHMENTS 1 Autobiography Write a personal account of your life in no more than 1500 words. Include important life experiences, formative influences. We are interested in how you can provide a psychologically insightful account of your personal development and an honest self-appraisal of your strengths and weaknesses. Please indicate the word count at the end of this document. 2 Statement of Motivation Write a statement of motivation (approximately 300 words) indicating why you wish to train as a Counselling psychologist. We are interested to see whether you understand what a career as a professional Counselling psychologist involves in practice and why you think you are suited to this kind of career. Please also indicate the word count at the end. 3 Academic Transcripts Please provide us with the official records of all results achieved in University courses. This should include not only courses in psychology but any other courses, diplomas or degrees you have studied for at a University. Students currently completing their psychology honours programme should, if available, provide their June examination or other results. 4 R150 Administration Fee This can be in the form of a cheque or postal order made out to the Rhodes Psychology Clinic. Alternatively, you may deposit or transfer or EFT the money into our bank account and attach proof of payment to this application: First National Bank Branch: Grahamstown Branch code: Account: Applications cannot be processed if payment is not received. Send the completed form and all attachments to: The Secretary, The Psychology Clinic, Rhodes University, PO Box 94, Grahamstown 6140 (Or as single PDF copy to y.scheepers@ru.ac.za) THE CLOSING DATE FOR APPLICATIONS IS FRIDAY 15 JUNE 2018 Regardless of whether you send a hard or electronic copy, you should check with Mrs Yvonne Scheepers, at y.scheepers@ru.ac.za or that your complete application has been received. Page 5 of 5