Association of Counselling Psychologists

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Email Address *

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First Name *

Last Name *

Postal address (NOTE: Your details will not be visible to the public) *

Phone contact (include area code if land-line) *

Fax No

Registration status (please select from drop down menu) *
Counselling PsychologistCounselling Psychologist RegistrarCompleted Counselling Psychology CourseCurrent Counselling Psychology StudentStudent in First Year

Psychologists Registration Number (please verify with AHPRA)

APS membership *
Yes   No

APS College membership (check multiple boxes if needed)
Counselling Psych   Clin Psych   Ed & Dev Psych   Health Psych   Neuro Psych   Forensic Psych   Sport Psych   Org Psych   Community Psych

Type of work
Full time private practice   Part time private practice   Agency or other   Not Currently Working

If you work outside of private practice, please identify your place of work

Describe your primary areas of interest and/or expertise

I provide supervision for Counselling Psychologist Registrars I provide supervision for Counselling Psychologist Registrars

I give permission for the ACP to send me information I give permission for the ACP to send me information

I am willing to run a presentation on my area of interest/expertise I am willing to run a presentation on my area of interest/expertise

Registration confirmation will be emailed to you.