INFORMATION AND INSTRUCTIONS FOR APPLICANTS

Associate Coaching Course (ACC) | Professional Coaching Course (PCC)

Please view our website for more information, outlines, brochures, dates, prices and payment terms of each course before applying for our courses

Please complete all required fields marked with a *. Other fields are provided in order for us to have a better understanding of who is attending each course and allows us to prepare for the course with all your circumstances in mind. Please ensure that you send back all pages of the application form.

Contact the Centre for Coaching

Centre for Coaching (Pty) LTD

UCT Graduate School of Business

Breakwater Campus, Portswood Road, Waterfront 8001

Tel: +27 (0)21406 1031/1493 Fax: +27 (0)21406 1484

E-mail: bsite:

Deposits and Fees: :(Please ensure you place your reference number on your Proof of Payment OR your Name and
course e.g. JBrownCTE2013 on the payment)

Bank Details:

Name: Centre for Coaching (Pty) LtdBank: Nedbank Foreshore

Account number: 1083342754Branch code: 108309

ACC 2016 Deposit amount: R7,000PCC 2016 Deposit amount: R11,000

Please see brochures for full fee information

Checklist for your application

Please ensure that you include the necessary documents when sending in your application form:

☐Complete the application form– for PCC, please submit no later than application the closing date.

☐Send adigital head-and-shoulders photo of yourself (JPEG).

☐Pay the non-refundable deposit - proof of payment to be included with your application form.

Additional for Associate Coaching Course (ACC)Applicants ONLY:

☐Send your Motivation Letter -ACC Only: in which you describe your purpose in taking this
course and what you hope to accomplish (maximum 1 page)

Additional for Professional Coaching Course (PCC)Applicants ONLY:

☐Complete the Associate Coaching Course.
☐Send your completed Pre-course Questions essay:click hereto download.

Please note:

  • That your application MUST be submitted no later than the closing date(PCC).
  • Any late applications may be reviewed but only AFTER the applications received timeously have been considered.
  • That our courses are limited in the number of students we can accommodate per course. We operate on a strictly first-come, first-served basis.Places will be kept once complete application and deposit (proof of payment) has been received. Once the class total number is reached,students will be put on a waiting list and be notified as we receive an opening.
  • Please ensure you review our strict cancellation policy on Page 4

COURSE DETAILS

Which course are you applying for? Further details on fees & deposits please refer to our website.

Cape Town / Johannesburg / Start date
ACC - Associate Coaching Course (6 months)
PCC - Professional Coaching Course (1 year) / Not available

APPLICANT DETAILS

*Surname / *First Name/s
Preferred Name / *E-mail address (for all correspondence)
*Physical Location(for group meetings) / * Postal Address (incl. postal code)
These meetings usually take place after hours.
Area or Suburb: / ☐Work ☐Home
Home Telephone Number and Code(incl. country & area code if outside of SA) / *Mobile Phone Number(incl. country code if outside of SA)
Relationship Status / No. & Ages of Children (if applicable)
I.D Number / *Date of Birth
*Educational background: Qualifications and Institutions Attended
Have you completed anyCentre for Coaching or New Ventures West courses?
Course Name Year: Facilitator:
Where did you hear about the Centre for Coaching? Have you attended a coaching roundtable?
Do you have any Special dietary requirements? / Do you have any disabilities of which we need to be aware?
**Please note that arranging certified Halaal or Kosher Meals may incur a small additional fee

CURRENT EMPLOYMENT INFORMATION

*Name of Company / Core business / industry (e.g. Transport, Education)
*Your current position/job title / Work Telephone Number and Code(incl. country and area code if outside of SA)
Number of years with this company / Your department
Duties (brief job description) / In what types of situations do you (or would you) use coaching?
What is your experience of coaching people or being coached?

* INVOICING DETAILS

Please advise how this account will be settled:

☐Individual ☐Company sponsored

If company sponsored please provide us with contact details of the person responsible for payment in your organisation:

Company Name: / Finance Contact Name:
Finance Contact E-mail:
Invoicing Address: / Postal
Code
VAT Registration No.: / Purchase Order No. if required:
Do you require an invoice before the deposit can be paid? ☐Yes ☐No

Deposit

Please note that there is a deposit amount for each course to reserve your space, this amount is non-refundableand non-transferable.Please ensure that you include your Proof of Payment with you application form.

Cancellation Policy:

The ACC is a popular programme and each year we have a waiting list of highly committed applicants. Your spot is one of only a few available each year and we need to implement a strict cancellation policy to ensure that all participants are sure that they have carefully thought through the personal, time and financial commitments that are required in order to be able to complete this world-class, rigorous course.

  • More than 30 days before the course start date qualifies for a refund of the fees less the deposit amount.
  • 30 to 14 days before the course start date is subject to forfeit of 50% of the full fees.
  • 14 days prior to the course start date results in a forfeit of 100% of the full fees.

If balance payment has not yet been made, the programme fee becomes immediately due and payable.

Cancellations must be made in writing via Email.

Acknowledgement of Understanding:

I hereby confirm that I am applying for the above course and agree to pay the course fees in full and attend all session dates outlined in the course brochure.

I understand and agree that if I withdraw from the course less than 14 days prior to commencement, or at any stage after commencement, results in 100% forfeiture of the total course fee. Any portion of the fee unpaid then becomes immediately due and payable.

*☐I hereby acknowledge that I have read the cancellation policy and accept these as terms of my application.

Full Name
Signed at / On the / Day of / 20
Signature

Applications to be submitted by the closing dates to:

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