Vision: The Promotion of Human Well-Being in Singapore
Mission: To Advance the Research and Practice of Psychology in Singapore

Personal Particulars
Title
Full Name (as in NRIC/Passport)
Alias Name
Email Address
Preferred Name on SRP certificate
NRIC/Passport Number (Example SXXXX123A)
Sex
Date of Birth: (Format DD/MM/YYYY)
Citizenship
Ethnicity
Place of Birth
Marital Status
Permanent Resident Number [If none, indicate n/a]
Date Granted [If none, indicate n/a]
Employment Pass Number [If none, indicate n/a]
Effective Period [If none, indicate n/a]
Residential Address
Work Address
If you are able to provide psychology services to the public, please specify which languages you are able to provide such services in
Educational Qualifications
Area(s) of Qualification (Select area(s) you have been trained in)
Supervised Practicum Training (Breakdown of Hours)
Scroll Right to view more
Placement Practicum 1. 2. 3. 4.
Placement Site
(Organisation / Country)
Placement Supervisor
(Name & Professional Qualifications)
Practicum Hours:
Client Contact Hrs.
Individual *Supervision Hrs.
Group Supervision Hrs.
Others (e.g., report writing)
* For Occupational/IO psychology, the distinction between individual and grp sup is not necessary.

 

Professional Association Membership(s)
Professional Licensure/Registration
Employment History and Information
Supervision Training: Completed clinical supervision training (minimum of 2-days or 12-hours) in the past 2 years
Supervision Received: At least 50-hours of supervision (individual/ group/ peer) received in the past 5 years from an SRP Approved Supervisor
Referees (For SPS Membership)

(Two SPS Full Members are required)

1 - Name
1 - SPS Membership No.
1 - Phone Number
1 - Email
2 - Name
2 - SPS Membership No.
2 - Phone Number
2 - Email
Referees (For SRP Membership)

(Two SRP Members are required)

1 - Name
1 - SRP Membership No.
1 - Phone Number
1 - Email
2 - Name
2 - SRP Membership No.
2 - Phone Number
2 - Email
Referees (For SRP Approved Supervisor Membership)

(Two current SRP members, either: current SRP members or SRP members who are SRP Approved Supervisors)

1 - Name
1 - SRP Membership No.
1 - Phone Number
1 - Email
2 - Name
2 - SRP Membership No.
2 - Phone Number
2 - Email
Please indicate ways in which you may like to contribute to the work of the Singapore Psychological Society
Document Submission

Please upload all supporting documents here. Do ensure that they are certified true copies. You may be asked to provide hardcopy documents where necessary.

Please ensure that you have uploaded the following:

SPS
1. Documentation of Educational History (i.e., transcripts)







2. Documentation of Professional Association Memberships







3. Documentation of Professional Licensure/Registration







4. Evidence of Employment (i.e., CV and letter of employment from current organisation)







5. Two Character Referee Forms for SPS Membership




SRP
1. Documentation of licences / practicing certificates (e.g., license to practise as a professional psychologist in Australia, Canada, New Zealand, UK or USA)







2. Documentation of ALL practicum hours (e.g., signed practicum log or recognised qualification/license by accredited institution or psychological association, or official letter from training institution, specifying hours completed)







2. Two Character Referee Forms for SRP Membership




SRP Approved Supervisor
1. Attach training certificates or proof of attendance







2. Two Character Referee Forms for SRP Approved Supervisor




Privacy of Information
I consent to having the above information published in SPS Membership Directory
Yes
No
Declaration

The SPS treats the information provided with strictest confidentiality and would reject or de-register any person in the event of any violations of the Code of Professional Ethics (including the submission of any false information).

Have you previously been or are you currently under investigation by any disciplinary or legal tribunal?
Yes
No
Have charges of unprofessional conduct ever been brought against you?
Yes
No
Have you been convicted in the past of an offence involving a criminal charge or is there any charge pending?
Yes
No
I hereby declare that all information/documents submitted by me in this application is true and accurate.
Yes
No
I understand that any misleading statement, or omission may be cause for rejection of this application
Yes
No
I hereby declare that pending acceptance and if accepted, I agree to be bound by the prevailing Constitution of the Singapore Psychological Society and the Society Code of Ethics.
Yes
No
IMPORTANT NOTES
(1) If you respond Yes to any of the above questions, please submit an explanation and/or details of the outcome. Mark it Private and Confidential and attention this to the Membership Committee & SRP Membership Committee.  Please email your letter to the secretariat (secretariat@singaporepsychologicalsociety.org). In considering your application, the Membership Committee, SRP Membership Committee or Members of the Council of SPS may request further information. A Yes answer does not automatically mean a rejection of the application. Each application will be considered on its merits.

(2a) For SPS membership application process, all applicants need to be nominated by 2 current full members of the society, who must sign and provide his/her membership number on the nominators’ section above. Only applicants for international membership are exempted from completing this section of the form.

(2b) For SRP membership application process, all applicants need to be nominated by 2 current SRP members of the society, who must sign and provide his/her SRP membership number on the nominators’ section above. Only applicants for international membership are exempted from completing this section of the form.

(2c) For SRP Approved Supervisor membership application process, all applicants need to be nominated by 2 current SRP members, either of the following: current SRP members or SRP members who are SRP Approved Supervisors of the society, who must sign and provide his/her SRP membership number on the nominators’ section above. Only applicants for international membership are exempted from completing this section of the form.

(3a)  For SPS membership and SRP membership applications, transcripts are to be emailed directly from the home institution or certified true. For all applications, certified true copies of academic records will be accepted. Copies of supporting documents (Based on the information you provided for your academic qualifications, Professional Memberships & Employment) have to be certified true copies. Certified true copies mean photocopies stamped and signed as a true copy by the awarding university, Advocate & Solicitor, a Notary Public, a Justice of Peace or embassy ONLY.

(3b) For SRP Approved Supervisor membership application process, SRP will require certified true copies of certificates, transcripts/academic records, curriculum vitae, training certificates or proof of attendance on clinical supervision training and any other supporting documents. Certified true copies mean photocopies stamped and signed as a true copy by the awarding university, awarding organization, Advocate & Solicitor, a Notary Public, a Justice of Peace or embassy ONLY

(4) The certifying officer must not be a family member or spouse. Please submit certified true copies of marriage/partnership certificate, deed poll etc., if your name is now different from that on the certificates. Please note that we will not accept copies of documents certified by staff of current/past employer(s).

(5) SPS will email you on receipt of your application. Please arrange for the payment of your processing fee by Online Payment, Internet Banking, or Giro Payment.

(6) You will be given your reference code to check the status of your application. Please retain your reference code should you require our assistance.

Payment