Please complete the application form below and then click the submit button at the bottom of the page.
You will then be directed to a page where you can download your application so that you can print it for signature.
We will also send you an email with a copy of your completed form as a back-up. (Please be careful to provide your correct email address). Then check your application is complete, sign the printed form, scan and send to amanda@henleybschool.de

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Application for admission

Professional Certificate in Executive Coaching (Germany)

Please fill in all sections and return by email to Amanda Justice at amanda@henleybschool.de

Section 1 Personal details
1.1Title (Mr/Mrs/Ms/Miss/other)
1.2Surname (Family name)
1.3First names (in full)
1.4Preferred name
1.5Gender (male/female)
1.6Date of birth (dd/mm/yyyy)
1.7 Ethnicity (UK/EU applicants only)
Section 2 Residence
2.1Nationality
2.2Country of permanent residence
Section 3 Contact Details
3.1Home Address
3.2Country
3.3Postcode
3.4Telephone
3.5Mobile
3.6Email
Section 4 Employment and experience details
4.1Present job title
4.2Department
4.3Employer
4.4Industry type
4.5Address (including postcode)
4.6Telephone
4.7Email
4.8Please describe your current duties and responsibilities, and describe your major achievement in this role
4.9Number of years’ relevant management experience (e.g. managing people, projects) 4.10Number of years’ full-time work experience
4.11Previous coaching experience (please provide brief details)
4.12Programme expectations (please state the specific benefits you expect to gain from this programme)
Section 5 Education and English language
5.1Please state your highest academic qualification (e.g. Bachelors degree, A levels)
5.2Please state whether this was obtained in the UK/ EU/ Other overseas country
5.3Is English your native language?
5.4If no, please supply details of any English language test taken (date and result)
Section 6 Disability

If you have a disability that may affect your learning, please provide details:

Do you have a disability?
If yes, what is the nature of your disability?
Further details of disability if required
Section 7 Programme Details

Germany programme dates for 2021/2

Please select the programme dates that you wish to apply for

Section 8 Marketing Information
8.1Have you used Henley Business School before?
8.2Does your organisation regularly use other business Schools
If so, which one(s) does it use?
8.3Please indicate the main source of information which prompted you to apply for the Professional Certificate in Coaching:
8.4Please indicate if you are a member of Henley Partnership
Section 9 Declaration

I declare that the information given on this form is true, complete and accurate and that no information requested, or other material, has been omitted.

9.1Signature
9.2Date
Data protection

Please note: The personal information you supplied will be used to help us respond to your request, for quality assurance and for data analytics purposes. Your personal data will not be sold to any organisation and will not be shared with any organisations outside the University of Reading apart from those that help us to provide this service or unless required by law. The information that has been provided in this form will be treated in accordance with the General Data Protection Regulation (2016), the UK Data Protection Act 2018 and all applicable Data Protection laws. Please refer to the University of Reading at (www.reading.ac.uk/15/about/about-privacy.aspx) for more information.