REFEREE REPORT MASTER OF COUNSELLING & PSYCHOTHERAPY · Navita rofessiona Institut t Lt radin...
Transcript of REFEREE REPORT MASTER OF COUNSELLING & PSYCHOTHERAPY · Navita rofessiona Institut t Lt radin...
Navitas Professional Institute Pty Ltd trading as Australian College of Applied Psychology. CRICOS Provider codes: 01328A (NSW), 02565B (QLD), 02829E (VIC). ABN 94 057 495 299 Page 1/2 295221388-1218
This form is to be used by applicants to the Master of Counselling and Psychotherapy degree.Background
The Master of Counselling and Psychotherapy is accredited by the Psychotherapy and Counselling Federation of Australia (PACFA) as meeting the Professional Training Standards. The College undertakes to provide training in alignment with these training standards, and to ensure ACAP graduates are of the highest quality.
PACFA training standards require that applicants to counselling and psychotherapy training can demonstrate the following qualities:
• ‘Presence of fundamental human capacities’• Self awareness• Capacity to relate to others• Capacity to understand and practice ethical behaviour• The ability to reflect upon and learn from life experience, including ‘being open to positive and challenging feedback’ from others (p.2)
PACFA Training Standards 2012, Psychotherapy and Counselling Federation of Australia www.pacfa.org.au.
Who should complete the referee report?
Applicants should request two referees to complete a report each. Clinical supervisors, line managers in the workplace and lecturers who have taught applicants in previous courses are suitable referees.
1. Application detailsTitle: Mr Mrs Miss Ms Other:
Family name: Given name(s):
Phone: Email:
Address:
2. Referee detailsTitle: Dr Mr Mrs Miss Ms Other:
Family name: Given name(s):
Phone: Email:
Address:
Position:
Please describe your professional contact with the applicant, including how long you have known the applicant:
This is a CONFIDENTIAL Referee’s Report for Master of Counselling and Psychotherapy Applicants.
REFEREE REPORT MASTER OF COUNSELLING & PSYCHOTHERAPY
CONFIDENTIAL
Navitas Professional Institute Pty Ltd trading as Australian College of Applied Psychology. CRICOS Provider codes: 01328A (NSW), 02565B (QLD), 02829E (VIC). ABN 94 057 495 299 Page 2/2 295221388-1218
3. Please rate the applicant on the following skills and characteristicsINTERPERSONAL SKILLS OUTSTANDING WELL DEVELOPED COMPETENT POORListening skills
Empathy
Able to be genuine, respectful and emotionally present with others
Ethical reasoning and behaviour
PERSONAL CHARACTERISTICS OUTSTANDING WELL DEVELOPED COMPETENT POORSelf awareness
Capacity to learn from feedback
Level of maturity
Commitment to study
Stress tolerance
Statement of support for the applicant undertaking the Master of Counselling and Psychotherapy course:
Referee’s signature:
Date: / /
OFFICE USE ONLYDate received / / (dd/mm/yyyy)
This is a CONFIDENTIAL Referee’s Report for Master of Counselling and Psychotherapy Applicants.