Application form for Re-joining UKATA - UK Association for Transactional Analysis

Application form for qualified, student and trainee members re-joining UKATA

Please provide the following information if you wish re-join the UKATA after a lapse or break in your membership.

The information provided will be assessed by UKATA’s Training and Accreditation Standards Committee in relation to current HIPC (for Psychotherapy members) and EATA training requirements for trainees and current HIPC (for Psychotherapy members) and UKATA criteria for CPD for CTAs and above, and recommendations for any additional CPD may be made prior to re-registration with UKATA and UKCP (where appropriate). In the case of any outstanding ethics or professional practice formal complaints against the member, TASC will liaise with the Ethics and Professional Practice Committee (EPPC) of UKATA.

Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email:
Date of leaving UKATA:*
DD slash MM slash YYYY
Membership Number:
Reasons for break in Membership:
Reasons for rejoining UKATA:
Category of Membership:
Name of RTE:
TA Qualifications (if applicable):
Non-TA Qualifications
Have you been a member of any other professional organisation during your break in UKATA Membership? If yes please give details and any membership numbers:
What training or CPD have you completed during the break in UKATA Membership? Please include copies of any CPD returns for up to the last 5 years, if applicable:
During your break are there or have there been any professional practice / ethics formal complaints made against you? Give details:
Have any sanctions been made? If yes please give details.
Have you been practising as a TA Counsellor/psychotherapist during the break? If yes please give details including supervision arrangements:
If No and you wish to resume such a practice please give details of what you have done to enable you to be ready to resume practice. For students and trainees this may include an assessment for fitness to practice if not already completed:
Date you resumed (would like to resume) practice:
DD slash MM slash YYYY
Practice details: (e.g. private practice, consultancy, placement etc:
What are your plans for training / CPD over next 12 months. Please note if you are a psychotherapy trainee and wish to achieve UKCP registration you need to complete a minimum of 4 years of training with a UKATA Registered Training Establishment (RTE):
Do you wish to re-instate any UKCP registration? If yes which College and clinical or nonclinical?
Under exceptional circumstances it may be possible to backdate your membership for 1 year, this will mean you will also need to pay for the previous year’s membership in full. Do you wish to do this?
- Yes
- No
Please state what stage of training or qualification you are:
Confirmation
- I confirm that I wish to re-join UKATA, that I abide by the current UKATA Policies and Codes with specific reference to the UKATA Code of Ethics and the Requirements and Recommendations for Professional Practice.
- I confirm that any outstanding complaints or sanctions have been declared above and I am aware that UKATA may contact any professional body mentioned.
- I confirm that any outstanding fees will need to be paid before any re-join application will be considered.