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)
Email Address
Your SRP Membership Number
Working Experience
Years of post-masters / doctoral relevant work experience
(Minimum 3 full years)
Years of work experience in Singapore as a Psychologist
(Minimum 1 full year)
Supervision Training: Completed clinical supervision training (minimum of 2-days or 14-hours) in the past 2 years
Supervision Received: At least 30-hours of supervision (individual/ group/ peer) received in the past 5 years from an SRP Approved Supervisor
Referees

(The professional referee should be a fellow SRP-Approved Supervisor, SRP Registered Member, who has known the applicant for a year or more.)

Download the SRP-Approved Supervisor Professional Reference Form

1 - Name of Referee
1 - SRP Membership No.
1 - Phone Number
1 - Email Address
2 - Name of Referee
2 - SRP Membership No.
2 - Phone Number
2 - Email Address
Document Submission

Please upload all supporting documents here. You may be asked to provide hardcopy documents where necessary.

Please ensure that you have uploaded the following:

SRP Approved Supervisor
1. Attach Completed Log of 30 Supervision Hours



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







3. Two SRP-Approved Supervisor Professional Reference Forms




Privacy of Information
I acknowledge having my SRP Approved Supervisor Membership information published in the Membership Directory
Yes
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 to the SRP Membership Committee.  Please email your letter to the secretariat (secretariat@singaporepsychologicalsociety.org). In considering your application, 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.

(2) 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.

(3)  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) To complete the SRP Approved Supervisor application, kindly arrange for the payment of your processing fee by Internet Banking, or PayNow and write to secretariat@singaporepsychologicalsociety.org

Payment
One-Time Admin Fee ( SRP Approved Supervisor Membership) $50.00
Total $50.00