TPC Health Application for 4 Day Accredited Health Coaching Workshop

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Please complete this form and submit it so that your application can be considered.

Please note that the information submitted on this form will be shared with NHSE&I as the commissioner of this training.

Email *

Please enter your organisation name, e.g. the CCG, NHS Trust, Council or other organisation you work for *

Please select the CCG area you are based in *

Which of the following best describes your role? *

A. Health & Wellbeing coach with health coaching as a main role function

B. Social Prescribing link worker with health coaching as a main role function

C. Other role with an interest in health coaching

Please specify which programme you are applying for as a first preference *

Please specify which programme you would apply for as a second preference *

Please outline why you want to attend this training and how it will support you in your role (approx. 50 words) *

Can you confirm that you will be able to attend all of the sessions and complete the course work for the selected cohort dates? *

A. Yes

B. No

How much of your working week is spent or will be spent working with people/patients in a health coaching role? *

A. More than 50% of the time

B. Less than 50% of the time

Do you get referrals from or work closely with a GP practice? *

A. Yes

B. No

Is your line manager supporting your application for this training? (If you are offered a place they will be required to confirm this by email to confirm that they will support you with time to attend all of the sessions) *

A. Yes

B. No

Please provide your manager's name *

Please provide your manager's email *

Send me a copy of my responses.

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