SECTION SEVEN REFERENCES [To be completed by all applicants] Provide the following details of at least three individuals [not relatives] who may be contacted as references, including at least one previous/present superior if you are employed or have been employed: Name Telephone Telephone Relationship [e.g. team Period [work] [home] captain, supervisor] [years] Provide the name and telephone number of one academic reference indicate course taught and – Name Course/Courses/Supervisor Telephone no Signature of applicant: Date:
SECTION SEVEN REFERENCES [To be completed by all applicants] Provide the following details of at least three individuals [not relatives] who may be contacted as references, including at least one previous/present superior if you are employed or have been employed: Name Telephone [work] Telephone [home] Relationship [e.g. team captain, supervisor] Period [years] Provide the name and telephone number of one academic reference – indicate course taught and Name Course/Courses/Supervisor Telephone no Signature of applicant: Date:
BPSYCH%20EQUIVALENCE%20APPLICATION_Jul2016.docx