CPD Approved application - Third Party Providers 2024-2025

CPD Approval application 2024-2025

1 January 2024 - 31 December 2025
This application must be completed in one sitting.

No payment is taken at the time of submission. The application will be reviewed and a quote provided to you for acceptance prior to any assessment occuring.

In addition to the free text fields for completion, you will also need certain documents/information to complete this application include:
- Activity session plan/s, identifying learning strategies AND how they are linked to the achievement of each of your stated learning outcomes.
- Supporting documentation such as activity descriptions, presentations and/or transcripts, to be used as part of the activity. Include any participant resources you plan to provide.
- Evaluation assigned to participants upon completion of the activity.
- Participant Certificate of completion.
- Promotional material or advertisements of the activity.
- Biography for presenter/s, and
- Subject to activity approval
  - Activity imagery for use on the advertisement (if relevant), and
  - Organisation logo.
If you require any assistance whilst completing the application, email pdprojects@psychology.org.au or call 03 8662 3377 during business hours.
ORGANISATION / EDUCATION PROVIDER DETAILS
Organisation name*
As per Australian Business Register. This is the Company name the tax invoice will be issued to
ABN*
Australian Business Number
Is this the Company trading name?*

YesNo
Trading name
As per Australian Business Register. This is the Company name the tax invoice will be issued to.
Organisation website
Must be a valid URL e.g. https://www.example.com.au
Phone no.*

Area CodePhone Number
Organisation address*

Street address or PO Box address

Street Address Line 2

CityState

Post codeCountry
AUTHORISED REPRESENTATIVES
Provide details of the person/s who are authorised to submit this application on behalf of the organisation.

The person/s listed will be included in all correspondence regarding this application.

The person completing the application is Authorised representative/applicant #1.

A digital signature will also be requested by this person to complete the application submission process.
How many authorised representatives will be listed in this application? (3 max)*

123
Authorised representative/applicant # 1 *

PrefixFirst NameLast Name
Role in organisation*
E.g. CEO, General manager, Education Coordinator etc
Contact phone no.*
Email*
This email address will be used for all correspondence relating to this application.
Authorised representative #2 *

PrefixFirst NameLast Name
Role in organisation*
E.g. General manager, CEO, Education Coordinator
Contact phone no.*
Please enter a valid phone number.
Email*
This email address will be used for all correspondence relating to this application.
Authorised representative #3 *

PrefixFirst NameLast Name
Role in organisation*
E.g. General manager, CEO, Education Coordinator
Contact phone no.*
Please enter a valid phone number.
Email*
This email address will be used for all correspondence relating to this application.
SPONSORSHIP
Is there a sponsorship component to this activity?*

YesNo
Sponsor details and nature of the sponsorship*
PROPOSED CPD ACTIVITY
Title*
Maximum 10 words. This title may be adjusted in accordance with style and branding guidelines.
Proposed CPD hours*
Proposed CPD hours are for educational content only, excludes breaks. The hours are indicative only and will be confirmed by the APS upon approval of this application.
Type of activity*

eLearning (online)On-demand (online)Live webinar (online)Live webinar & on-demand (online)Live webinar & eLearning (online)Workshop: in-personWorkshop: onlineWorkshop: hybridConference: in-personConference: onlineConference: hybridVaried delivery format of the same education e.g. online OR in-person
Is the venue that the in-person component of this activity will occur at, wheelchair accessible?*

YesNo
Will this activity be recorded and made available to registered participants after the live event has occurred?*

YesNo
What is the duration that participants will have access to this content?
Duration of access e.g. 1 month, 12 months etc.
Frequency of delivery*

Once-off eventSeries (multi-part event across multiple days/weeks)Repeated (multiple sessions of a once-off event, or on-demand)Ongoing
Is the proposed activity currently accepting enrolments?*

NoYes
What is the date that the activity is anticipated to commence accepting enrolments?

DayMonthYear
Date
Activity venue address

Street Address

Street Address Line 2

CityState

Post codeCountry
Event occurrence 1
DATE of activity START
DATE of activity END
TIME of activity*
Are there more dates this activity will be held on?

YesNo
Provide all relevant details of the additional dates here:
Participant limits
The number of participants in webinars and workshops should be limited to facilitate achievement of the learning outcomes.
- Peer consultation CPD requires a maximum of 15 participants per session.
- Workshops should be limited to 25 participants per presenter.
- Larger groups should have facilitators assigned in addition to the main presenter.
Consider the following examples:

Example A: A workshop has 35 participants, and due to the increased level of interaction and assessment, this requires one presenter and two additional facilitators.

Example B: A webinar has 100 participants, the level of interaction is limited to questions via chat, this requires one presenter and one facilitator.
Are there any limits to the number of participants who can enrol into this activity?

NoYes
Specify number of participants permitted to enrol into this activity.
Planning group
How many individuals were involved in the planning, development, and delivery of this activity?*
Although it is not a requirement to have both a Facilitator and a Presenter at a webinar, however, depending on the number of participants in attendance, managing functions of both by the Presenter alone may impact the delivery quality of the event.

Role of Facilitator

A Facilitator welcomes participants to the webinar, explains the relevant housekeeping items, introduces the Presenter, and manages the order of events of the webinar, including any break-out sessions and any session Q&A that may be occurring in the chat section of the webinar platform.

Role of Presenter

A Presenter delivers/presents the content of the webinar.
Details of planning group members*
CPD activity topics covered*
Activity keywords. These will be used for the advertisement to ensure appropriate user searchability. *
E.g. COVID-19, child anxiety, sleep disorder, eating habits etc.
Level of learning:*

Foundational (New to topic)Intermediate (Some previous learning on topic)Advanced (Significant expertise or similar field of knowledge)
PLEASE NOTE:

For the level of learning you have selected, additional assessment time of up to 4 weeks may be required.
Target audience, select all applicable options:*

Psychologist - All career stagesPsychologist - Early career stagePsychologist - Mid career stagePsychologist - Late career stageAcademic - EducatorAcademic - ResearcherPsychology studentsGeneral PractitionersAllied Health ProfessionalsHuman Resource ProfessionalsOther
You have selected "Allied Health Professionals", please elaborate:
You have selected "Other", please elaborate:*
Is this proposed activity relevant to an Area of Endorsed Practice or Division of General Psychological Practice (DGPP)?*

UnsureArea of Endorsed Practice (AoEP)Division of General Psychological Practice (DGPP)Both AoEP and DGPPNo
Select the applicable Area of Endorsed Practice:*

clinical psychologycounselling psychologyforensic psychologyclinical neuropsychologyorganisational psychologysport and exercise psychologyeducational and developmental psychologyhealth psychologycommunity psychology
ACTIVITY DESCRIPTION
1. Briefly describe the CPD activity e.g. topic, aim, content and goals etc.*
2. How will this activity assist psychologists reinforce or extend their knowledge and skills to deliver quality care?. Demonstrate evidence-based, best-practice (established or emerging), by considering professional expertise and current evidence-based research. Limitations on information must be disclosed.*
3. List sources used. A variety of sources are used to collect data/information. Include references less than 10 years old. (Information can be gathered from surveys, current research, literature, expert bodies, special interest health organisations, government perspective, economic perspective, State/National policy, Australian Bureau of Statistics (ABS) publications, standard and guidelines set by professional health bodies)*
LEARNING OUTCOMES
Provide a minimum of 3 learning outcomes for this activity.

Consider what the participant SHOULD be able to do upon completion of the activity? (e.g. acquire, apply, demonstrate etc.)

Develop each outcome at an appropriate level using Bloom's taxonomy.

EXAMPLE:

Upon completion of this activity, the participant should be able to:

- Describe the three main causes of XX

- Explain the treatment option available.

- Discuss preventative measure with patients.

Avoid using vague verbs that cannot be measured e.g., know, understand, appreciate, study, be aware, learn, realise.
Any more outcomes you'd like to add?
Or upload your Learning outcomes

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eLearning activities
Please provide the website link (URL) to the proposed activity (if applicable).

If the activity is not live yet, supply the URL to the location of the activity so it can be accessed by the APS Assessor for assessment.
Activity URL:*
As this activity has an eLearning component, we require access to the module to assess it. Please use email: pdprojects@psychology.org.au, and provide access to the APS with generic login details for this eLearning activity.*
Psychology Board of Australia professional competencies for psychologists
The Psychology Board has updated the professional competencies for psychologists for general registration to continue to be relevant and useful for psychologists and to ensure safe and effective psychology practice. These competencies will take effect on 1 Dec 2025. From the list below, select the professional competencies that this activity aligns with (select all that apply).*

Competency 1: Applies and builds scientific knowledge of psychology to inform safe and effective practice.Competency 2: Practices ethically and professionally.Competency 3: Exercises professional reflexivity, deliberate practice and self-care.Competency 4: Conducts psychological assessments.Competency 5: Conducts psychological interventions.Competency 6: Communicates and relates to others effectively and appropriately.Competency 7: Demonstrates a health equity and human rights approach when working with people from diverse groups.Competency 8: Demonstrates a health equity and human rights approach when working with Aboriginal and Torres Strait Islander Peoples, families, and communities.
Further information, including key features of each competency is available on the Psychology Board website.
You have selected Competency 1. Applies and builds scientific knowledge of psychology to inform safe and effective practice. Please provide information on how this activity aligns with this competency.
You have selected Competency 2. Practices ethically and professionally. Please provide information on how this activity aligns with this competency.
You have selected Competency 3: Exercises professional reflexivity, deliberate practice and self-care. Please provide information on how this activity aligns with this competency.
You have selected Competency 4: Conducts psychological assessments. Please provide information on how this activity aligns with this competency.
You have selected Competency 5: Conducts psychological interventions. Please provide information on how this activity aligns with this competency.
You have selected Competency 6: Communicates and relates to others effectively and appropriately. Please provide information on how this activity aligns with this competency.
You have selected Competency 7: Demonstrates a health equity and human rights approach when working with people from diverse groups. Please provide information on how this activity aligns with this competency.
You have selected Competency 8: Demonstrates a health equity and human rights approach when working with Aboriginal and Torres Strait Islander Peoples, families, and communities. Please provide information on how this activity aligns with this competency.
Required Documentation
Attach the activity session plan, identifying learning strategies and how they are linked to the achievement of learning outcomes.*

Suitable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Attach any supporting documentation such as activity descriptions, presentations and/or transcripts, to be used as part of the activity. Include any participant resources you plan to provide.*

Suitable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Attach the evaluation assigned to prospective participants upon completion of the activity. *

Suitable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Sample evaluation for reference
Attach the proposed participant Certificate of completion. *

Suitable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Attach any promotional material or advertisements of the activity.

Suitable file formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Attach biography for each presenter*

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Content advisory note
Consider any examples (within the activity content and/or by other participants in attendance) that may cause concern or distress to participants.
Does this proposed activity warrant a content advisory note to participants?*

YesNoUnsure
Details of content advisory note
Activity advertising on the APS CPD & Events Finder

https://psychology.org.au/training-events
CPD Approved applications can include an advertisement component within the CPD & Events Finder on the APS website. Does your application include an advertising component?*

YesNo, the application is only for the assessment of the activity.
This information will assist in the preliminary design of an advertisement for your CPD Approval application activity.

Your approval will be sought for final approval of all content published as relevant to your proposed activity prior to its publication on the APS website.

Advertising of this activity on the APS CPD & Events finder is for:
- the duration of the activity availability, or
- up to a maximum of two years (designated CPD approval period as stipulated on the approval notification e.g. 1 Jan 2024 - 31 Dec 2025), whichever occurs first.
Participant enquiries

Details of the individuals/departments that interested participants can contact in relation to the activity.
Phone Number
Please enter a valid phone number. No spaces
Will this phone number connect participants to an individual, or a general department within your organisation?

IndividualDepartment
Name - Activity enquiries

PrefixFirst NameLast Name
Department name - Activity enquiries
e.g. Education Dept., Conference team etc.
Email*
e.g. education@sampleorganisation.com.au
Activity imagery

Images do not have URL/hyperlink capabilities. Banner image should be 600px minimum width. Maximum file size is 2MB. Acceptable formats include jpg, gif, png.
Does this activity have a specific image that is being utilised on existing promotions/website etc which you would like appended to this advertisement?*

YesNo. I authorise the APS to source a relevant image on our behalf.
Activity image

Banner image should be 600px width minimum. Maximum file size is 2MB. Acceptable formats include jpg, gif, png.
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Your organisation

A brief description of your organisation is included in the advertisement. This field does not have URL/hyperlink capabilities.
Do you have specific wording describing your organisation to include in this advertisement?*

YesNo. I authorise the APS to extract relevant wording from our company website.
About my organisation

0/100
Your organisation as an APS Education Partner

Subject to approval of this CPD Approval application, the APS will display your organisational logo on its website in recognition of this education partnership.
Organisational logo*

Organisational logo image should be 180 pixels width minimum. Max file size 2MB. Acceptable file formats include jpg, gif, png.
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Is enrolment into your proposed activity free or does it have fees attached?*

Yes, its freeNo. There are fees payable by participants
Activity enrolment fees

Participant fees applicable to this activity

Fee inclusions (if applicable)
Please add details about what the fees include, e.g. participants receive a 1 year subscription to..., or APS members receive discounted access to resources.... etc.
Is there anything else you think we should know about before we assess this application?
Provide any other information that you deem relevant in support of this application.
DECLARATION
By submitting this application, I declare to the APS that: *

The information provided by me in this document is accurate and complete.I understand, and acknowledge, that the APS reserves the right to reject this application and/or withdraw approval of the activity if in the opinion of the APS, the activity does not meet the CPD activity standards or is deemed to be a conflict of interest in accordance with APS policy.I understand that, upon request, I must be able to produce and provide all information relating to this activity for the purpose of assessing this application and quality assurance.I confirm that images provided to the APS in this form are permitted to be used for advertising purposes of the stipulated CPD Approved activity on the APS website..I confirm that images provided to the APS in this form are permitted to be used for CPD Approved Education Partner promotion on the APS website and social media.I understand, and acknowledge, that approval of this application does not guarantee participant uptake.As the authorised representative/applicant of my organisation, I agree to the applicable Terms & Conditions as provided to me by the APS.I acknowledge that the relevant fee payable for this application includes a 25% non-refundable administration fee, payable only if the application is withdrawn prior to the assessment commencing. If the application fee has not been paid, a separate invoice will be issued by the APS for payment.I acknowledge that once this application is submitted and paid, and the assessment has commenced, if I withdraw the application, I will be provided with a refund of the fee payable minus 50% of the total application fee.I understand that, upon request, I must be able to produce and provide all information relating to this activity for the purpose of quality assurance.
Applicant signature*

Clear
The 1st authorised representative as listed in this application is required to digitally sign the application before submission
Today's date

DayMonthYear
Date
Marketing & APS news

We'd love to keep you informed with APS news & special offers. If you'd like to opt-in and receive our updates, please provide the email address you'd like to receive these updates to.
Email
example@example.com
Should be Empty:

	Fee $AUD	Early bird pricing (if applicable)	Early bird END DATE	Any notes you'd like to add ?
APS member
APS student member
Non-APS member (member of the public)

CPD Approval application 2024-2025

ORGANISATION / EDUCATION PROVIDER DETAILS

AUTHORISED REPRESENTATIVES

SPONSORSHIP

PROPOSED CPD ACTIVITY

Event occurrence 1

Participant limits

Planning group

ACTIVITY DESCRIPTION

Activity advertising on the APS CPD & Events Finder

Activity imagery

Your organisation

Your organisation as an APS Education Partner

Activity enrolment fees