Division of Clinical Psychology, Pre-Qualification Group

Nomination form for election of officers and committee members

Full name of nominee

Membership number
Address
Email address
Telephone number

Post for which nominated

Current grade of membership
Current employment(if applicable)
Present committee role (if applicable)
Previous committee experience

Membership of other Divisions / Sections / Special Groups / Branches

I agree to the above nomination / Signature / Date
We propose and second the above nomination (proposers and seconders must be Members of the Division of Clinical Psychology, Pre-Qualification Group)
Full name of proposer / Membership number of proposer / Signature
Full name of seconder / Membership number of seconder / Signature

Please return this nomination form no later than 12:00 noon on Friday 24 July 2015 to

Freepost RTGU-UTJY-LRJA

The British Psychological Society

St Andrews House

48 Princess Road East

Leicester

LE1 7DR

Alternatively, you can fax or email the completed nomination form through to 0116 227 1314 or , FAO Member Network Services.

Notes:

  1. If elected to the post you agree to take on board the roles and responsibilities
  2. Any illegible or omitted entry or signatures will invalidate the nomination

The British Psychological Society

Supplementary information

Candidates seeking election to an office within the Division of Clinical Psychology, Pre-Qualification Group are invited to submit a personal statement for circulation to members of the Society with ballot papers. Candidate’s biographical details, as listed on the nomination form, will be published along with this personal statement, which must not be more than 300 words.

Candidates are asked to provide a personal statement, rather than a specific manifesto. Candidates preparing a statement might like to include information about their past and present services to the Society as well as the following:

Qualifications

Whilst qualifications in psychology are obviously relevant, many will have other qualifications at various levels which could make them more attractive candidates. CPD should not be omitted from this section, which should also include the person’s status within the Society.

Experience

Both occupational and Society experience is relevant. Work roles may prepare candidates to undertake responsibilities on behalf of the Society. This section also allows candidates to refer to major achievements.

Interests

The intention is to try to get a picture of the candidates underlying motivations and objectives without asking for a manifesto. In a way, it could be an answer to the “Why do you want to stand?” question.

Effective commitment

This helps ascertain the nominees availability to fulfill the required role within the Society.

Candidates may choose not to make a statement

Statement: (additional sheets may be used if necessary):

Completed personal statements should be signed and dated by nominees and returned to the Leicester office of the Society along with the completed nomination form. Upon receipt, it will be assumed the nominees have declared their intention to be candidates in a forthcoming election and that this information is not confidential. It may be disclosed to any members on request (e.g. other members asking if there will be any other candidates in the election) or even published.

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