BAPT Membership Renewal
1st October 2015 to 30th September 2016
Follow the five steps to renew your membership of BAPT by30th September.Please return this form either by email to or post to the office address:
BAPT, 1 Beacon Mews, South Road, Weybridge KT13 9DZ
1)PAYMENT
Please quote your membership number or we will be unable to identify your payment which may result in suspension of membership
I enclose my cheque for £150.00, made payable to The British Association of Play Therapists. Please write your name and membership number on the reverse of the cheque.
I have transferred the sum of £150.00 by Internet bank transfer to HSBC, Sort Code: 40-30-24, A/C No: 41808591, A/C Name: British Association of Play Therapists, quoting your membership No.
By Standing Order £150. Please arrange this through you own bank, giving them the following details: HSBC, Sort Code: 40-30-24, A/C No: 41808591, A/C Name: British Association of Play Therapists Payments should be made on the 1st October each year.
I will pay 1/4ly. Payments of £38 will be made on 30th October 2015, 30th January 2016, 30th April 2016 and 30th July 2016. You will need to arrange this via your own Bank giving them the following details HSBC, Sort Code: 40-30-24, A/C No: 41808591, A/C Name: British Association of Play Therapists.
I will pay monthly.Payments of £13.00 will beon 15th day(please note this is a new requirement so you may need to change your transfer) of each month, starting 15thOctober 2015.You will need to arrange this via your own Bank giving them the following details HSBC, Sort Code: 40-30-24, A/C No: 41808591, A/C Name: British Association of Play Therapists.
I will pay by Pay Pal via the website.
GIFT AID
Please treat this payment and any payments made in the future as Gift Aid donations. Or,
Please treat this payment and any payments made in the last 6 years or any future payments made as Gift Aid donations.
2)YOUR DETAILS
Please ensure these details are correct and make amendments using block capitals. All information is held in confidence and will only be used for BAPT related activities. Your name and address will not be passed to any third party.
Name/addressMembership no.
Email Address:
Home Telephone:
Work Telephone:
Mobile:
3) DETAILS OF YOUR SUPERVISOR/SUPERVISION
Please confirm the supervision hours you have received during the last renewal year, either one to one or within a group. Group supervision should be no more than 4 people, minimum of 3 hours duration i.e. each attendee has 0.75 hours supervision. Further details are available in the Supervision section of the website. BAPT sets MINIMUM SUPERVISION requirements for its practising members as follows:
First year of post qualifying practice: a member is required to undergo 24hours clinical supervisionwith a BAPT accredited supervisor
Members with more than 1yr post qualifying experience are required to complete the followinglevels of clinical supervision:
Cat A: 1-5 children = 4 hours Supervision in any 12 Month period
Cat B: 6-10 children = 8 hours Supervision in 12 Month period
Cat C: 11-15 children = 12 hours Supervision in 12 Month Period
Cat D: 16-20 children =18 hours Supervision in 12 Month period
These are minimum requirements. BAPT Play Therapists are expected to exercise their professional judgement in determining the level of supervision they need to practice safely and effectively. They should consider with their supervisor the complexity of their work and their clinical experience. It is recommended that BAPT Play Therapists agree with their supervisor the appropriate level of supervision and evidence this as part of their supervision log.
Supervisors and managers of services who are not practising play therapy but are providing supervision should undergo clinical supervision in line with agency policy. This should be in line with BAPT Code of Ethics.
In the situation where Members are not directly working with children, but who wish to maintain full membership, please contact Membership secretary Audrey Lee
a) Supervisorsname and address:
b) Is your Supervisor BAPT registered? Yes No
Ifyour supervisor is not BAPT registered or a BAPT member, they should meet the BAPT criteria by being from an associated discipline and have experience of working with children. Please confirm by ticking the correct box:
- ACP/UKCP registered Child Psychotherapist or Psychotherapist [ ]
- HPC registered Art Therapist[ ]
- BADTh registered dramatherapist[ ]
- BPS Chartered Clinical Psychologist[ ]
- UKCP registered Family Therapist[ ]
- FRCP registered Child and Adolescent Psychiatrist[ ]
c) Please confirm the number of hours of supervision you have received in the past renewal year.
Individually______Group______
d) Verification and signature of supervisor. (This may be emailed to us separately)
Supervisor’s signature……………………………………………………..Date……………………2015
4) MEMBERSHIP OF OTHER ORGANISATIONS
Do you hold membership of any other professional body, e.g. BACP, PTUK, UKCP, HCPC?
Yes / No
If yes, please list them here:
5) MEMBER DECLARATION
Please read and confirm the following:
a)I do not have a criminal record that may prejudice the interests of children.
b)I have not been dismissed from employment on the grounds of professional misconduct or lack of competence
c)Since my last registration there has been no change relating to my good character (this includes any conviction or caution, if any, that you are required to disclose), or any change to my health or mental health that may affect my ability to practise safely and effectively.
d)I have not been refused membership of a professional body or register in a related field on the grounds of professional misconduct or lack of Competence.
e) I have read and will abide by the criteria defined in the Code of Ethics and Practice of the British Association of Play Therapists.
f) I have a current CRB/DBS (issued less than 3 years ago) for my Play Therapy work:
CRB/DBS Number
Date of Issue ……………………………
(this does not apply to Overseas Members: however confirmation of local Police checks undertaken is needed please)
f) I am covered for Professional Indemnity and Public Liability insurance either
Personally ( ) or by my employer’s policies ( ) Please tick as appropriate and supply details of:
The Insurer
Policy number
g) I have complied with BAPT’s CPD requirements.
If you cannot confirm one or more of the above statements, please advise details on a separate sheet. We will contact you to discuss further but please note that failure to comply with these requirements within 12 weeks of renewal may result in your membership being suspended or terminated.
Members signature……………………………………………………..Date……………………2015
Cont....