• APS 5+1 Pathway to Registration Program

    Supervisor Expression of Interest

  • The Australian Psychological Society (APS) is delivering the 5+1 Pathway to Registration Program with funding from the Australian Government Department of Health, Disability and Ageing. The program forms part of the Australian Government’s commitment to strengthen Australia’s psychology workforce by supporting internships for provisional psychologists undertaking the 5+1 pathway.

    Please complete the form below to register your interest in the Program. Before completing this form, please review the Program eligibility criteria and FAQs.

  • Supervisor Details

  • Format: 0000 000 000.

  • Employer Details

  • Format: 0000 000 000.

  • Supervision Details

  • When can you commence providing supervision to a 5+1 intern? Please provide the commencement date below or add a comment if a specific date cannot be confirmed.*
     - -
    2 digit month, 2 digit day, 4 digit year
  • What is the estimated date by which you would cease providing supervision to the intern? If no end date is anticipated, please leave this field blank or provide a comment if more appropriate.
     - -
    2 digit month, 2 digit day, 4 digit year
  • Please indicate the days and times you are available to provide supervision

  • Supervision Requirements

  • Are you able to provide the minimum of 50 hours of individual supervision out of the total 80 hours required?*
  • Are you able to offer the 1 hour of supervision for every 18 hours or practice or more as required?*
  • Do you have a supervision agreement template that you use with supervisees?*
  • Are you able to observe a minimum of four sessions every six months for a total of 8 overall, in which a minimum of two must be psychological assessment and two interventions?*
  • Are you able to undertake progress reviews every 6 months?*
  • Are you able to regularly review the logbook, including record of practice, education and training activities, and record of supervision?*
  • Will you be able to complete the final assessment of competence report?*
  • Please select all that apply from the following categories that best describe your practice experience
  • Please select all categories that best describe the client population(s) that align to your supervisory experience and skills:
  • Please select all categories that best describe the types of work activities that align to your experience and skills:
  • How did you hear about the APS 5+1 Pathway to Registration Program?
  • Should be Empty: