Declared/Intended Areas of Competency

Declared/Intended Areas of Competency (Please select all that apply.)

	Children	Adolescents	Adults	Couples	Families	Elderly	Organizations	Teaching/Research
Clinical Psychology
School Psychology
Clinical Neuropsychology
Counselling Psychology
Forensic/Correctional Psychology
Health/Rehabilitation Psychology (mental/physical)
Industrial/Organizational Psychology

Provisional members will be examined during the oral exam on their intended competencies.

Provisional members must practice in each of the intended competency areas, including populations served.

Declaration of an area or areas of competency is expected to be based on completion of formal (academic) training, supervision, and experience in that area, as supported by documentation (e.g., transcripts, letter from director of training, supervisor references).

By which method is your Intended Competency area(s) supported?*

Program completed is clearly identified on the transcript of the highest degree (e.g., Clinical Psychology, Educational/School Psychology, Counselling Psychology)A letter has been requested from my training director to be sent directly to the College attesting that a specific program was completed (e.g., Clinical Psychology)If neither of these apply, provide a detailed explanation and documentation of the rationale behind your claim(s) of intended competency areas for which you do not have formal education in the box below.
If available, please upload documents of support when a competency is not backed by formal training.

Cancelof
(e.g., formal training, experience, supervision within the competency area(s) and with the client population(s) served)
Name*

First NameLast Name
Email*
I Affirm That I am*

A full practice member of the College, practicing independently in the areas of practice indicated ORA provisional member of the College intending to practice under supervision in the area(s) of practice indicated
Signature*

Clear
Date*

MonthDayYear
Saskatchewan College of Psychologists

1026 Winnipeg Street, Regina, SK S4R 8P8
Telephone: 306-352-1699/Fax: 306-352-1697
Email: skcp@sasktel.net
Website: www.skcp.ca
Should be Empty: