Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Surname
applicable)
Forenames
Previously a
member? (please
tick)
Date of birth
Yes
No
BPS
membership
number (if known)
Contact address
Postcode
Mobile telephone
Daytime
telephone
Email address
Start date
Date of award
or expected
completion
Please give the name of your degree in its original language (e.g. Ptychio, Diplom, etc.)
Declaration
I declare that the information given in this form and any supporting documentation is true and accurate. I
have read the Member Conduct Rules and undertake to abide by and operate within them at all times.
The Member Conduct Rules are available on the Societys website www.bps.org.uk
Signed:
Date:
Communication
E-mail addresses may be used by the Society to communicate with you instead of by post in
matters relating to your membership. Please tick if you also wish to receive messages from
carefully selected third parties.
We may also from time to time send material by post from carefully selected third parties. If you do
not wish to receive this, please tick here.
The Society will not sell or give your personal details to any third parties without first seeking your
permission or we are legally instructed to do so under UK law.
Payment
The Subscription and application fees below details how much you need to pay. Please include
a cheque for the relevant fees made payable to The British Psychological Society or confirm the
amount and give your debit/credit card details below.
I graduated within the last three years and wish to pay at the reduced subscription rate
I am enrolled on the postgraduate qualification in the UK detailed in the qualifications section on the
first page of the form and am not earning a taxable income. I would like to pay at the reduced
subscription rate
To also apply for general membership of a Division please circle below the Division you would like to join
and add the relevant subscription to your payment amount.
Division of Clinical Psychology
(DCP)
Division of Clinical Psychology
(DCP) General (pre-Training) *
Division of Counselling
Psychology (DCoP)
Division of Educational and
Child Psychology (DECP)
Scottish Division of Educational
Psychology (SDEP)
16
16
35
17
30
Division of Forensic
Psychology (DFP)
9
15
15
15
15
15
Visa
Amex
MasterCard
Delta
Switch/Maestro
Card number
Valid from: ____/____ Expiry date: ____/____ Issue No (switch only): ____
Please enter the three/four digit CVV
number:
Visa, MasterCard, and Maestro, the code is the last three-digit number located on the back of your card
on or above your signature line. American Express, it is the four-digit number on the front.
* The General (pre-Training) grade of the DCP is open to individuals currently in a pre-training role (e.g.
assistant psychologist, support worker, etc). Upon joining the Division at this grade, members will
automatically be included in the Divisions Pre-Qualification Group - http://dcp-prequal.bps.org.uk
Graduate membership
Non-members will need to pay a one off non-refundable application fee of 20 in addition to the annual
subscription fee. Student members are exempt from the 20 application fee. The subscription rates are:
Standard Graduate membership fee is 142 (122 subscription and the 20 application fee).
You can pay a reduced subscription rate fee for the first three years since graduating from the
qualification which makes you eligible for Graduate membership. The fee is 81 (61 subscription and
the 20 application fee).
If you are a postgraduate student in the UK with a level of income below that necessary to pay income
tax, you can pay a reduced subscription. The fee is 52 (32 subscription and the 20 application fee).
Confidential
Does your impairment mean that you have problems with your usual activities?
Do you often have to ask for changes to be made in order that you can take part
in activities equally?
Please indicate the adaptations or personal assistance required to enable you to carry
out your daily activities, e.g. provision of a note taker, support worker, etc.
Gender
Female
Male
Confidential
Ethnic origin - What is your ethnic group?
Choose one section from A to E then tick the appropriate box to indicate your cultural
background
White
British
English
Scottish
Welsh
Other, please state below:
Irish
Any other white background, please state below:
Mixed
Indian
Pakistani
Bangladeshi
Any other Asian background, please state below:
Caribbean
African
Any other Black background, please state below:
Chinese
Any other background, please state below