Applied behaviour analysis (ABA) year three application form

Complete this form and other requested material by 30 October.

A letter informing you of the selection results will be sent to your email contact address before 20 December.

Selected students will enrol in:

PSYCH 730
PSYCH 728A & B
PSYCH 651A & B
PSYCH 757

You must also complete the University of Auckland admission process.

Please read the information for applicants PDF below:

Information for applicants can be founf on the Forms and Guides page.

Form Unavailable

This form is currently unavailable, please come back later.

1. Personal information

First name:

Last name:

Email address:

Phone number:

Postal address:

Citizenship or residency:

I have New Zealand citizenship or residency I have Australian citizenship or residency I don't have NZ or Australian citizenship or residency

I identify my gender as:

Ethnic identity:

Attach a one-page cover letter, which includes your personal statement:

Upload File

2. Academic qualifications

All applicants must attach a copy of their official academic records to be considered for the programme.
Applicants who have not previously studied at the University of Auckland must also complete the section 'Recognition of Previous Tertiary Study (ROPAS)' on the University's online application form.

Degree:

Major:

Institution:

Years of attendance:

Did you complete your previous tertiary study at the University of Auckland?

Yes No

Please attach a copy of your official academic records to be considered for the programme

Upload File

If you haven't previously studied at the University of Auckland you must complete the section 'Recognition of Previous Tertiary Study (ROPAS)' on the University's online application form.

Please list all courses that had a behaviour analytic component

For example: behavioural modification, behaviourism, operant behaviour, respondent behaviour, experimental analysis of behaviour, or applied behaviour analysis.

Year

Institution

Course title

Grade obtained

Hours of lectures

Year

Institution

Course title

Grade obtained

Hours of lectures

Year

Institution

Course title

Grade obtained

Hours of lectures

Year

Institution

Course title

Grade obtained

Hours of lectures

3. Work experience

List all the jobs you have had - full or part-time, paid or voluntary - where behaviour analytic services have, or could have been provided.

Dates

Employer

Position

Description of duties

Dates

Employer

Position

Description of duties

Dates

Employer

Position

Description of duties

Are you presently employed by an agency, company, or organisation in a role where you have the authority to design and implement behaviour-analytic programmes?

Yes No

If yes, enter your employer and job title, and describe your duties in the table above.

4. Intended enrolment details and professional credentials

I intend enrolling

Full time Part time

If you are offered a place in the year three ABA courses, and successfully complete the requirements of those courses, which of the following professional credentials do you intend pursuing?

Registered psychologist in New Zealand No certifications will be sought Other

If other, please specify:

Particular problems that some people have, or have had, may impair their ability to work as a Behaviour Analyst and Psychologist. You may choose to provide this information on this form or in person/writing to the Director of the ABA Programme. Disclosure of such problems may or may not affect your selection, but if you are selected and such factors are later discovered, it may affect judgements about your professional suitability.

Have you acted violently towards another person?

Yes No

If yes, explain below

Do you currently have, or have had, problems associated with alcohol or drug use?

Yes No

If yes, describe the steps you have taken to change and address these problems

Do you currently have, or have you had, problems with health or well-being (physical and/or psychological) that may impact your ability to train and/or work as a Behaviour Analyst/Psychologist?

Yes No

If yes, describe the steps you have taken to manage these problems

Do you have any criminal convictions?

Yes No

If yes, describe

The Psychologists Board requires police vetting before students can be registered as intern psychologists. In addition, police vetting will be required for all successful applicants. Accordingly, you are required to disclose any criminal convictions in this application. Note: Exemption in accordance with the Criminal Records (Clean Slate) Act 2004.

5. Your interests in applied behaviour analysis

With which groups and in which settings are you interested in working as a behaviour analyst once you have completed your intended programme of study?

No more than 50 words

What advantages do you believe are accrued by a behaviour-analytic approach to working with the group(s) you have identified above?

No more than 50 words

Are there any groups for which behaviour-analytic services might be offered but with which you are unwilling to work?

Yes No

If yes, identify the groups

Identify those personal qualities and academic abilities that would likely help you become a qualified and effective behaviour analyst:

No more than 100 words

After completing the third year would you be interested in doing a PhD in Behaviour Analysis? If so, what areas of behaviour analysis would you be interested in?

No more than 50 words

6. Interview

A selected number of applicants will be interviewed early November. Will you be available at this time to attend an interview?

Yes, in person Yes, via Skype No Other

If other, please specify

7. Referees

Your referees should not be family members. Preferably, at least one referee should be from a current or previous employer or work supervisor.

Name

Phone

Relationship

Postal Address

Name

Phone

Relationship

Postal Address

Personal character referee

This referee should not be a family member, but may be a friend or work colleague.

Name

Phone

Relationship

Postal Address

The School of Psychology requests your permission to contact your referees if they consider it necessary. The purpose of contacting referees is to ask them about your academic aptitude, research skills, personal skills, and your suitability for admission and potential success in the programme.

I agree that the referees I've named above may be contacted for the purposes described above.

8. Declaration

I declare that the information I have given in this application form is true and accurate. If statements I have made are found to be false or inaccurate, I acknowledge that my application may not proceed.