ILM Level 7 Application Form

1. Title Mr Miss Ms Mrs Other
2. First Name*
3. Last Name*
4. Date of Birth*
5. Organisation*
6. Job Title*
7. Programme I'm interested in attending Autumn '24 starts Sept 23rd APL route
8. Address
9. Town
10. Postcode
11. Telephone*
12. Mobile number
13. Email address*
14. Purchase Order
15. Invoice Address

Coaching & Leadership Experience

Please complete as fully as possible.

1. Please give a brief description of your role and key areas of leadership responsibility
2. Please give details of your coaching experience within an organisational context
3. Please give details of any previous qualifications in leadership, coaching, management, psychometrics or HRD

Development Objectives

1. What are your objectives in attending this programme? What are your personal learning goals?
2. Please let us know of any special requests (such as dietary needs, disability, special access or special learning needs)
3. Any other relevant information to support your application.
4. I confirm that I have read and understand the Portfolio Terms & Conditions*