Apply for Membership


 

PSYCHOLOGICAL ASSISTANT AFFILIATE

Membership Term: April 1 - March 31

 

PSYCHOLOGICAL ASSISTANT AFFILIATE MEMBERSHIP (non-voting):

 

Is open to an individual who at the time of application:

  • a) practices within the scope of practice of psychology (as defined in Schedule 22 of the Health Professions Act);
  • b) practices under the supervision of a registered psychologist;
  • c) holds a Bachelor's Degree;
  • d) is of good character and reputation;
  • e) subscribes to and supports the objectives of the Psychologists' Association of Alberta, Canadian Code of Ethics for Psychologists (Revised 2000), Standards of Practice, and Practice Guidelines for Providers for Psychological Services; and
  • f) pays the prescribed dues.

 

Procedure:

An application form should be completed and forwarded to the Psychologists' Association of Alberta.

 

Applications must be accompanied by the following documents:

  • Official transcripts of educational qualifications
  • Recent criminal record check (within the last 6 months). Criminal record checks are only accepted if they are provided by a police agency (we do not accept criminal record checks processed by private companies).

 

The Psychologists' Association of Alberta subscribes to A Canadian Code of Ethics for Psychologists, (Third Edition, Revised 2000), Code of Professional Conduct, and Practice Guidelines for Providers for Psychological Services.

 

FEES
Psychological Assistant Member: $190.00
     Pro-rated: $143.00

** Membership year runs from April 1 through March 31. After May 1st there are pro-rated fees available to new members only.

July 28, 2017

If your Work Setting is not listed above, Please type it in the Other box belox
Current Principal Employment / Work Address
Academic History
Please List: Highest Related Degree, Department/Faculty, Year and Institution
Memberships in Other Professional Associations
Have you ever been required to withdraw from membership in a Psychological Association or any other professional association or at any time been convicted of a felony, sanctioned by any professional ethics body or other regulatory body or by any professional or scientific organization? (If yes, please provide details)
Name of Supervisor (must be a Registered Psychologist)

REQUIRED DOCUMENTS
Criminal Record Check:
Official transcripts of educational qualifications:

In making this application, I subscribe to and will support the objectives of the Psychologists' Association of Alberta, Canadian Code of Ethics for Psychologists (Revised 2000), Standard of Practice, and Practice Guidelines for Providers for Psychological Services. I recognize I am not a psychologist, nor may I present myself as one or use my status with the Psychologists' Association of Alberta to misrepresent my professional standing. I affirm that the statements made in this application correctly represents my qualifications for membership, and understand that if they do not, my Psychological Assistant Affiliate status may be voided.