MSC CLINICAL PSYCHOLOGY ONLINE APPLICATION FORM

Dear Applicant
Thank you for showing interest in applying for the Master of Science (MSc) in Clinical Psychology training programme, at Sefako Makgatho Health Sciences University (SMU), Department of Clinical Psychology in the School of Medicine.

Application Guide

Please download and read the application guide before filling out the application form

Instructions for completing this Student Application Form:

1. Please complete all sections of the Student Application Form electronically.

2. Upload a certified copy of your Identity Document/Passport

3. Upload a certified copy of your Grade 12 certificate/school leaving results

4. Upload a certified copy of your Honours Psychology degree certificate

5. Upload certified copies of your additional academic records and certificates from previous academic institutions

6. Upload certified copies of SAQA certificates for qualifications obtained at non-South-African institutions (where applicable)

7. Upload proof of payment. An application fee of R250.00. Payment details: Account name: Sefako Makgatho Health Sciences University; Standard Bank; Acc No.: 071244395, Branch Number: 020909, Reference: Clin Psy 4012.
NB: No application form will be processed without proof of payment.

MSc Clinical Psychology Programme 2027

SECTION 1. PERSONAL PARTICULARS

Title

Initials

First/Preferred Name

Surname

Age

Sex

Nationality

Identity/Passport Number

Race

Physical Address

Contact Number: Cell

Contact Number: Work

Email Address

Home Language

English: Speak

English: Read

English: Write

Indigenous African Language (Specify)

Indigenous African Language: Speak

Indigenous African Language: Read

Indigenous African Language: Write

Other (Specify)

Other: Speak

Other: Read

Other: Write

Relationship Status

Do you have any dependent adults/children? If Yes, please provide details:

Do you have any disability that requires reasonable accommodation and support during training?

If Yes, what is the nature of your disability and what reasonable accommodation would you require if selected?

Do you have any mental health conditions that requires reasonable accommodation and support during training?

If Yes, what is the nature of your mental health conditionsand what reasonable accommodation would you require if selected?

Do you have a criminal record or have ever been found guilty of a criminal offence/at a disciplinary hearing?

If Yes, please provide details.

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