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


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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