Hong Kong Psychological Society Division of Counselling Psychology (DCoP) Application Form for Membership You are strongly advised to read the Membership Guideline for the membership requirements before to complete the following items I. Personal Particulars Name in full (English) (surname first) Name in Chinese Title: Date of Birth Telephone No. (Home) (Office) E-mail Address Correspondence Address Residential Address (if different from above) HKPS membership already held* FELLOW ASSOCIATE FELLOW GRADUATE MEMBER AFFILIATE * please tick as appropriate You must be a HKPS member before to apply for the divisional membership. II. The membership category of the Division of Counselling Psychology Full Membership Affiliateship For the following information, a copy of the curriculum vitae could be used instead (if more space is needed). It should be typed on A4 paper and contain all the required details in the corresponding order. III. Academic Qualifications/Awards/Distinctions (in chronological order) (You must indicate clearly the academic qualifications obtained and the core subjects covered in your studies with official documentation support) Remarks: For overseas qualifications (master/phd/doctorate), please also attach the course structure, course outline and the transcripts for our reference. Also, please attach the thesis/dissertation, term papers, reports of empirical investigation, project report, etc to facilitate our vetting. From To Academic Institution /University Month/Year attended (please specify country) Qualifications / Awards / Distinctions Obtained Date of award Core subjects e.g. Psychological Assessment (Version 25Oct2013) 1
IV. Practica/Internships (the hours must been shown in the attached official transcript) Remarks: 1. You must indicate clearly the hours of supervised practicum and the practicum settings within the postgraduate degree and other information as enquired. For information, please refer the Membership Guidelines. 2. **For information about supervisors, please indicate their professional qualifications and memberships. From To Agency/Organization Supervisor ** Month/Year (Name, Job Position, Professional qualifications, memberships, etc) No. of supervised practicum No. of face to face contact with supervisor Details (client group/ assessment, intervention techniques etc Total number of hours of Practica/Internship: Total number of face-to-face supervision hours: (Version 25Oct2013) 2
V. Further Professional Training (in chronological order and please attached photocopies) From To Name of Institution Programme Name Level Achieved Month/Year VI. Work Experiences (in chronological order) *Please list the appointments held since obtaining qualifications in psychology. From To Name and Address of Month/Year Employment Full time Appointment Held / Job Title (For part-time or contract work, please specify and list separately, and indicate the number of working hrs in a week.) Nature of Work and Clientele Supervision and on-going professional development (Please specify and indicate the amount of supervision and professional development activities attended in the past year) (Version 25Oct2013) 3
VII. Publication List: VIII. Declaration I declare that all the information provided in my application is true and correct; and that the documents provided by me in connection with this application are authentic. I understand that my personal data will be held according to the rights and responsibilities laid out by the Personal Data (Privacy) Ordinance and adopted by the HKPS. Application Date Signature IX. References The application must be supported and signed by a Proposer and Seconder, who must be members of the Hong Kong Psychological Society Ltd and at least one has to a member of the Division of Counselling Psychology - HKPS. Proposer: HKPS Membership No. : Name ( ) Signature Date DCoP-HKPS member: Yes No Seconder: HKPS Membership No. : Name ( ) Signature Date DCoP-HKPS member: Yes No Note: The completed application form, together with copies of academic credentials/professional qualifications, certificates, transcripts, curriculum vitae, work testimonials, and abstracts of selected publications (if applicable), should be sent to the following address for receiving record: The General Secretary Hong Kong Psychological Society Room 705, United Building, 17-19 Jubilee Street, Central, Hong Kong Email: admin@hkps.org.hk (Version 25Oct2013) 4
Membership Guidelines AIMS The aims of the Division are: a. To define and develop the field of counselling psychology in Hong Kong with regard to service, training, research and professional conditions. b. To promote the highest professional and ethical standards in counselling psychology. c. To do all such things which are conducive to achieving these aims. PROFESSIONAL ACTIVITIES IN COUNSELLING PSYCHOLOGY a. Assessment (psychometric or non-psychometric) is to ascertain current mental health status, strengths, weaknesses and competencies and to formulate psychological explanations of clients distress b. Interventions are activities based on psychological assessment, professional knowledge, skills and judgment to promote, sustain, and/or enhance positive functioning and sense of well being in clients through preventive/ developmental and/or remedial services c. Research is scientific inquiry, examination, investigation, or experimentation for the purpose of expanding and disseminating psychological knowledge d. Evaluation is the systematic collection of data to determine the significance, worth, or condition of a psychological intervention, service, or program of service e. Consultation is the provision of professional advice or service based on psychological skills and judgment that will assist others in the identification and resolution of problems f. Teaching is the planning, organisation, and delivery of knowledge and skills related to counselling psychology. MEMBERSHIP Full Membership will be open to Fellows, Associate Fellows or Graduate Members of the Hong Kong Psychological Society who meet the following qualification criteria. a. Have satisfactorily completed an accredited undergraduate degree, in psychology or equivalent, approved by the HKPS; (Version 25Oct2013) 5
AND b. Have satisfactorily completed an accredited postgraduate Degree, or its equivalent, in Counselling Psychology, that includes the core subjects as follows: (1) Theory and practice of two major therapeutic models. (2) Assessment, formulation, planning and implementation. (3) Research methods and skills. (4) Ethical and professional issues in practicing psychology (5) Two of the following courses: Human growth and development Working with a specific client group eg., the elderly, children and families, couples, adolescents and youths Working with specific problems eg., substance abuse, childhood abuse, depression, anxiety, stress, study problems, chronic illnesses, bereavement In-depth knowledge and skills in specific therapeutic approaches Program development and evaluation AND c. Have successfully completed not less than 1000 hours supervised practicum within the postgraduate degree as below (please submit official transcripts to indicate sufficient supervised practicum hours): 1. Supervised practicum : 1000 hours supervised practicum in at least 2 of the following settings: (Remarks: Those 1000 hours should include 200 hours of direct face-to- face supervision; and the supervisors being full member of DCoP or eligible for membership of the Division) Adult psychological concerns Child & adolescent psychological concerns People with health or wellness concerns Family/Marital concerns People with special needs AND 2. Have regular, ongoing supervision, consultation and/or engagement in other forms of reflective practice through approved professional development activities in relation to the clinical practice. (Version 25Oct2013) 6
Honorary Membership: The Division Committee may recommend for approval as Honorary Members, by a General Meeting of the Division, any Honorary Fellow, Fellow, Associate Fellow or Graduate Member of the Hong Kong Psychological Society who has made a distinguished contribution to the advancement of counselling psychology. Honorary Members are not entitled to vote. AFFILIATESHIP a. Affiliateship of the Division will be open to candidates who are not eligible for Full Membership of the Division, Honorary Fellows, Fellows, Associate Fellows, Graduate Members or Affiliates of the Society. b. No technical qualification will be required on the part of a candidate for admission to Affiliateship provided that s/he has a long-standing interest in counselling psychology or that his or her professional occupation is normally with a genuine interest in counselling psychology. c. Affiliates will be entitled to attend scientific meetings. They may also attend other meetings at the invitation of the Committee but they will not be entitled to vote. d. Affiliates of the Division will sustain their affiliation as long as they strictly refrain from publicizing it, otherwise the Division will repudiate the affiliation. -END- (Version 25Oct2013) 7