ILM level 7 Certificate and Diploma programme application form

THE INSTITUTE OF LEADERSHIP AND MANAGEMENT

CERTIFICATE AND DIPLOMA IN LEADERSHIP MENTORING AND COACHING

APPLICATION FORM

Please check entry requirements
Please check programme dates
Required fields are indicated by *

Programme start date*	Programme
Title*
Name*	Job title*
Organisation*	Registered charity No.
Contact address	Invoice address	if different
Line 1*
Line 2
Line 3
Town/City*
Postcode*
Telephone number*	mobile
e-mail address*

Please give details of any previous qualifications in leadership, coaching, management or HRD*

Please give a brief description or your role and responsibility*

What are your objectives in attending this programme? What are you personal learning goals?*

What impact are you expecting to achieve in your organisation as a result of attending the programme? How will you measure this?*

Do you have any special requests you would like to let us know about (such as dietary, mobility etc.)

Terms and conditions

Fees are payable 45 days before the first workshop
Cancellation charges - more than 45 days before commencement 10% admin fee in all cases, 44-21 days 20%, 20-11 days 50%, 10 days or less 100%
Transfer of booking to another person within your organisation by arrangement will only incur cost if the coaching style questionnaire needs to be redone
We reserve the right to cancel the programme in unforseen circumstances.

I have read and accept the terms and conditions

On submitting the application you will be directed to an acknowledgement page and should receive a summary of the form by e-mail to the address you provided. If this does not happen please contact us.
All applications are vetted to ensue that they meet the ILM criteria. Successful applicants will be contacted within seven days.