Application Form - October 2024 - May 2025
23 Evenings (Monday, Tuesday or Wednesday)  - 6.30-9.30pm 
3 Saturdays - 9.15 - 4.15pm

CLOSING DATE FOR COMPLETED APPLICATIONS: April 30th 2023

Programme Fee: €2175 - €375 due with completed Registration Form by May 10th 2024
€900 due on June 24th 2024
€900 due on January 24th 2025

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Email *
First Name  *
Surname *
Contact Phone number *
School Name (where you work) *
School Address *
School Category *
Leadership Position *
Number of years in your current position *
Reasons for your interest in Educational Leadership Coaching *
Please outline if you have any previous experience of coaching / coach training
 *
Where did you hear about this programme?
 *
If you heard of this programme through an Education Centre, please identify which Centre here 
(Type N/A if not applicable)

Centre Name:
 *
Please indicate your preference of evening to participate in the programme.              
We will endeavour to give you your first choice. However may not always be possible.
 *
1st preference
2nd preference
3rd preference
Monday evening
Tuesday Evening
Wednesday evening
Course fee €2175
I understand that following receipt of this Application Form, I will receive a Registration Form to be submitted together with €375 registration fee by May 10th in order to secure a place on this programme 
 *
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