Evidence Submission Form Personal Details Name * Email * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Qualifications in Business Psychology * Level of Certification applied for * Associate Business Psychologist Senior Business Psychologist Fellow of the ABP Framework requirements You are required to present evidence of sustained and successful experience and/or leadership in Business Psychology mapped against the ABP criteria. Once you have collated your evidence and completed the Business Psychology Certification Evidence Submission, you should submit this application form, providing the names of referees who are able to comment on your claim. Referee Details First referee Name * Job title * Department/Service * Email * In what capacity do you know this person? * Second referee Name * Job title * Department/Service * Email * In what capacity do you know this person? * Checklist Initial registration form submitted * Date Submitted * Submission form attached * Date Submitted * Referees’ statements attached * Date Submitted * Declaration signed (below) * Date Submitted Declaration I am applying for Certification to the Association for Business Psychology and wish to present evidence of my professional practice to the next available Recognition Panel. Signature * Clear Level applied for * Associate Business Psychologist Senior Business Psychologist Fellow of the ABP Applicant’s name * Evidence Required Evidence Matrix * Required by: Associate, Senior Business Psychologist Continuing Professional Development * Required by: Associate, Senior Business Psychologist Evidence for a psychological evidence-based approach to practice and personal development. * Required by: Senior Business Psychologist only Evidence of sustained and successful leadership in the field of Business Psychology and/or mentoring of staff to support Business Psychology * Required by: Senior Business Psychologist only Evidence of impact in the field of Business Psychology (national and international level). * Required by: Fellow only For each section, please refer to the detailed criteria in the Certification Papers to ensure you are providing sufficient evidence that you are meeting what is required for the desired level. Please review and discuss this with your mentor before submission. Section 1: Evidence Matrix: Associate, Senior BP Here we ask you to write up short examples of your experiences (up to 500 words each) which are mapped against the Areas of Practice, Business Practice Principles, Consulting Cycle and ABP Values. This allows us to check you have covered the required criteria for your desired level. Please refer to the Certification Papers for the detail of the criteria required, and ensure you are providing sufficient evidence to support the criteria being applied for. At Associate and Senior level, we ask you to show a professional commitment to the ABP Values. As a guide, you will need a minimum of 4 in-depth or a maximum of 10 brief examples. Each example should have a header summarising the criteria covered by each example and the word count. Note that one example may represent more than one criteria. When you have completed the detailed table, please complete the evidence matrix summary, and ensure that this is presented at the front of your evidence submission. Evidence Matrix Summary Please use the table below to summarise the areas of practice, professional business practice, consulting cycle stages and ABP Values you have mapped for each detailed example. Please refer to the Certification Papers for further explanation of each. Evidence Matrix Detail Please provide examples of your experiences in the boxes below, adding rows as needed. Each example should have a header summarising the criteria covered by each example. Note that one example may represent more than one criteria. As a guide, you will need a minimum of 4 in-depth or a maximum of 10 brief examples. Each example should have no more than 500 words. Please provide the word count for each example. E.g. Example 1: AP2, AP4, AP5; PB4, PB6; CC1, CC2, CC5; V1, V3 (n words) * Example 2: AP3, AP4; PB2; CC3; V2 (n words) * Example 3…. Section 2: Continuing Professional Development (Associate, Senior BP) Demonstrate your engagement with appropriate Continuing Professional Development activities, through 5 but no more than 10 examples, which you have undertaken in the previous three years. Against each one, reflect briefly on how each example has contributed to the development of your practice (indicative word limit of 150 per example; maximum for this part is 1,500 words). Emphasis is placed on your capacity to reflect on your practice through the examples you provide by articulating your learning and realising your impact on the processes and evidence presented. Section 3: Evidence for a psychological evidence-based approach to practice and personal development (Senior Business Psychologist) Paragraph How have you incorporated psychological research, scholarship and psychological evidence in your activities showing a scientist practitioner approach to practice? Emphasis is placed on your capacity to reflect on the examples you provide by integrating your subject matter expertise in psychology into your practice. Show how examples of relevant research/scholarship/evidence from psychology has informed your thinking. Against each one, comment briefly on how it has contributed to your own or others’ practices (Please provide between 3 and 6 examples, indicative limit of 250 words per example; total maximum 1,500 words). Section 4: Evidence of sustained and successful leadership in the field of Business Psychology and/or mentoring of staff to support Business Psychology (Senior Business Psychologist) Complete EITHER section A Case studies OR section B Narrative reflection. Maximum 1,500 words. EITHER A: Case studies OR B: Narrative reflection Section 5: Evidence of national / international impact in Business Psychology (Fellow only) Applicants for Stage 3 Fellow of the ABP, will typically be highly experienced psychologists who have a sustained record at a strategic level in Business Psychology. Applications for Fellow must provide sustained evidence of the impact of your strategic leadership of Business Psychology. You are asked to provide evidence (e.g. case examples, publications, workshops, national talks, etc.,) that evidence your commitment to the values of the ABP and impact outside of your organisation (for example, changes in work practices, policy making, government white papers etc.,). Please provide evidence to respond to each of the following four criteria (Maximum 2,000 words per box): CR1: Candidates should provide an overview of their current role and how their personal development has informed the championing of the values of the ABP. CR1 should include a discussion of your own psychological philosophy and how that has developed over time, in relation to the dimensions of the ABP framework. CR2: Provide evidence of your successful strategic leadership towards the enhancement of Business Psychology at a national/international level. For example, supporting your discipline through executive or board positions, quality enhancement initiatives; innovations in business psychology. CR3: Evidence how you have established effective organisational strategies for supporting the development and promoting of others. For example, through the development of widely used resources or workshops that target national strategies for employment; involvement in organisational reviews; championing diversity and inclusion etc. CR4: A continual commitment to and engagement with professional development related to your professional practice. What impact has your engagement with your personal CPD had on the work of others/strategy/the values of the ABP. Evidence could be drawn for example, through demonstrating the impact of invited talks or key note speeches. For example, organisational change or innovation. If you are human, leave this field blank. Submit