Ivy House Master Programme Application Form

The application takes about 20 minutes to complete. It's designed to explore your readiness for this type of development. We’re interested in your approach to learning and how you relate to others. Once we've reviewed it, we’ll be in touch to schedule a short 'readiness assessment' call.

Fields marked with an * are required.

If you would like to talk about this further, please feel free to get in touch with our Head of Client Experience, Deandra, by emailing deandra@ivyhouse.co.uk

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* 1. First name (preferred name, if applicable - the one we'll use throughout the programme)

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* 2. Surname

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* 3. Current job title

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* 4. Company name

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* 5. Work email address 

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* 6. Personal email address

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* 7. Mobile number

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* 8. Are you happy for your contact details to be shared with other delegates on the programme in your cohort? (This is for things like a buddy coaching activities during the masterclasses) It will NOT be shared elsewhere.

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* 9. Please upload an image of yourself (we use your photo internally as facilitators and coaches to put a face to the name, but will not use it externally without your expressed permission)

PNG, JPG, JPEG, GIF file types only.
Choose File

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* 10. Are you happy to appear in videos or images from your programme? These will only be used in communication with your cohort and never for marketing purposes.

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* 11. Home postal address - House number/name

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* 12. Home postal address - Road/street

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* 13. Home postal address - City/town/village

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* 14. Home postal address - County

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* 15. Home postal address - Post code

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* 16. LinkedIn profile

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* 17. Birthday (day and month)

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* 18. Sector

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* 19. University/college

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* 20. Course

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* 21. Programme funding - Please specify your choice

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* 22. If you have been registered by your employer, please indicate the expected start date of your programme (month and year)

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* 23. Tell us about a time when you were challenged to step out of your comfort zone and what you learned as a result

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* 24. What are your main areas of self development at the moment? How are you approaching them?

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* 25. What are your current goals and ambitions and why are they important to you?

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* 26. Tell us about a team or group you’re involved with, either in work or personally. How would the others describe you based on how they experience you in the group?

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* 27. The Ivy House Programme is an inclusive space. If you have any additional needs that you think we should be aware of so that we can ensure your experience is an extraordinary one, please detail these here:

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* 28. How did you hear about Ivy House?

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