Thanks for your interest in applying for this programme.

Before you complete this application you will need to:

(a) Check you can attend ALL the dates for the cohort you are applying for and commit to the time requirements of the programme

(b) Check whether you are from a Coaching and Mentoring Pool Partner Organisation - this will determine the fee you will be charged for the programme: https://www.wmemployers.org.uk/what-we-do/coaching/west-midlands-coaching-and-mentoring-pool/

(c) If you are from a partner organisation and would like to join the pool following completion of the qualification you will need to confirm endorsement from your manager and your organisational representative.

WME will check with your organisational representative that they support your application before confirming your place on the programme. If you are unsure who you should contact email info@wmemployers.org.uk


(d) If not paying by credit/debit card then you will need to Raise a Purchase Order - Purchase orders should be made out to West Midlands Employers, West Midlands House, Willenhall, West Midlands WV13 2HA

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* 1. Please select the course you would like to attend

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* 2. I am joining this training in order to (select all that apply)

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* 3. Delegate Details (Please note - the address you provide will be used to register you with ILM and send your certificate - this can be a home or work address)

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* 4. Date of Birth - This will be used to register you with ILM

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* 5. Please state any specific dietary, audio, visual or access requirements to cater for during the training

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* 6. We recommend that you type the answers to the questions that follow in Word and copy and paste to ensure that you do not lose your responses.

Please provide a brief summary of your motivation to join this training

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* 7. Please state your highest level of management/leadership qualifications currently held (if any):

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* 8. Briefly describe your current job role

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* 9. Joining the West Midlands Coaching & Mentoring Pool (WMCMP)

The WMCMP gives you the opportunity to put your new skills into practice but it also requires additional commitment following the programme. If you are intending to join...

Please respond to the below:

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* 10. Programme Fees

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* 11. Payment Information

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* 12. Gender

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* 13. Ethnic Origin

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* 14. Do you have a disability?

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* 15. If yes, please indicate which category bests describes your disability:

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* 16. Managing Your Information

Managing Your Information revised below

1. I accept that the details on this application form will be shared with West Midlands Employers (Co-ordinator for the West Midlands Coaching and Mentoring Pool); The Development Partnership (Programme Facilitators and Associates marking the assignments) and ILM (Accredited Body).

2. I accept that information on my progress towards achieving the ILM qualification will be shared with West Midlands Employers (and if I belong to a Coaching and Mentoring Pool Subscribing Organisation), it will also be shared with my Organisational Representative for the Pool.

3. I have read and understand the WME General Privacy Notice and the Event & Training Bookings Privacy Notice which outlines how my personal data will be managed.

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* 17. From time to time we would like to email you information about our Events and Services that we think may be of interest to you. If you are happy to receive this information please tick the box below.

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* 18. General Information:

1. If the wrong delegate type is chosen and a change in pricing is the result then we will advise the person responsible for making the booking of this change in fee.

2. We will email confirmation of your place following the application deadline or earlier if possible.

3. Places will be prioritised for WMCMP Subscribing Organisations who need to increase their contribution to the pool.

Cancellation Policy:

By submitting this application, you are confirming that you can attend all of the dates for the cohort that you have selected.

1. If you cancel your place 4 weeks or less prior to the start of the programme, then 100% fee per delegate is payable.

2. All cancellations should be in writing to info@wmemployers.org.uk. Please note than a delegate that has cancelled can send an alternative delegate to avoid cancellation charges.

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