Psychological Association of the Philippines

Room 210, Second Floor, Philippine Social Science Center Diliman, Quezon City

Mobile: 0927-787-20-12
Tel./Fax: 453-8257

E-mail add: pap_1962_08@yahoo.com

Registration

Category of Membership

Affiliate

Associate

Fellow

Type of Membership

New

Renewal

Upgrade

Email Address:

Password:

Confirm Password:

Field of Specialization

Assessment

Clinical

Counseling

Developmental

Educational

Industrial-Organizational

Social

Teaching

Personal Information

First Name:

Middle Name:

Last Name:

Nickname:

Civil Status:

Date of Birth:

Gender: Male Female

Home Address:

City:

Region:

Primary Contact Number:

Affiliation Address:

Educational Background

Degree	Major	Units Completed*	Specialization	School/Institution	Year Graduated

*State the number of units completed in a degree program if currently working for a degree

Professional Experience

Position/Title	Institution	Contact Number	Year Employed	Nature of Work

Please indicate 3 most recent psychology-related work experiences.

Published Research

Date Published	Published Research Title	Place of Publication

For fellows, please fill up at least 1 research published with date and place of publication

References

Name	Position	Company/Institution	Email Address	Contact Number

Choose 3 as references who can certify your professional work and education in Psychology, preferably your immediate supervisor, a colleague, or a former professor in Psychology. At least one of these references should be a PAP Member.

Send the following documents via email: Transcript of Records & Certificate/s of Psychology related Work Experience certified by the Employer

In making this application, I subscribe to and will support the objectives of the Psychological Association of the Philippines as set forth in its Constitution and By-laws and the Ethical Principles of Psychologists and the Code of Conduct as adopted by the Association, and I affirm that the statements made in this application correctly represent my qualifications and understand that if they do not, my affiliation may be voided.