School of Psychology supplementary application form

Applications close 1 November.

This form is for students applying for the Postgraduate Clinical Psychology Preparatory Doctoral/DClinPsy.

You must complete this form in full and attach the required documentation where requested.
You must also complete the University of Auckland admission process.
Read the Clinical Psychology information sheet (PDF) below:

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Section 1 - Personal information

First name:

Last name:

Preferred name:

Date of birth:

I identify my gender as:

Ethnic identity:

University of Auckland ID number:

Email address:

Postal address:

Note: If you change your address details during the selection and enrolment period (December to February) please advise the School of Psychology.

Phone number:

Please indicate if you are applying under any of the following considerations:

Māori applicants Pacific applicants Applicants with disabilities LGBTIQTakatapui+ community Applicants who have themselves or whose parents/primary guardian(s) have been granted refuge in New Zealand

Select any that apply

Section 2 - References

        
        Follow up with your nominated work and/or academic referees to ensure they have provided the required information before 30 October.

Please provide your referees with this link to the form www.forms.auckland.ac.nz/en/public/science/clinical-psychology-confidential-reference-form.html

Name of referee 1:

Email:

Phone:

Relationship:

Name of referee 2:

Email:

Phone:

Relationship:

Section 3 - Academic courses

If you are currently enrolled in an honours dissertation or research thesis, please provide the title of your thesis or your area of research, and the name of your supervisor.

Thesis title or area of research:

Name of your supervisor(s):

If you have already completed graduate level research projects, please provide details:

Which graduate-level research projects have you completed?

Honours dissertation in Psychology Masters thesis in Psychology PhD thesis in Psychology Graduate research in another discipline

Select as many as apply

Dissertation/thesis title or area of research:

Name of your supervisor(s):

What was your final grade?

Section 4 - Upload the following information

Upload a copy of your most up-to-date academic transcript:

Upload File

Upload a copy of your New Zealand/Australian birth or citizenship certificate, or your passport:

Upload File

Upload a photo of yourself:

Upload File

File size can be no larger than 10MB

You can request a criminal record check on the Ministry of Justice website.

Upload your criminal record check:

Upload File

Supplementary application form - part 2. Size: 241.4 kB. Type: PDF.

Download this PDF file. Size: 241.4 kB.

Complete and upload Part 2 of the supplementary application form:

Upload File

Māori and Pacific certification form. Size: 198.1 kB. Type: DOCX.

Download this DOCX file. Size: 198.1 kB.

Complete and upload your Māori and Pacific certification form, if applicable:

Upload File

Section 5 - Checklist

Please make sure you have completed the following:

I have read the Clinical Psychology information sheet (above). I have submitted an online application under Preparatory Clinical Psychology. I have signed all relevant sections in Part 2 of the supplementary application form and attached it above. I have completed all the relevant information on this form, and Part 2 of the supplementary application form. I have forwarded the link to the confidential letter of reference form (above) to two referees and asked them to submit the form before 30 October.

School of Psychology supplementary application form - Pre-Doctoral/DClinPsy