CMI Senior Practitioner Application Form

Please use this form to apply for a place on the Team Coaching Senior Practitioner

First name

Surname

Which Team Coach programmes have you completed: Please tick all that apply. *

GTCI Practitioner CASP 2020/21

GTCI Practitioner STC 2020/21

GTCI Practitioner CASP 2021/22

GTCI Practitioner STC 2021/22

CMI Team Coaching Practitioner

AOEC / Renewal Associates Systemic Team Coaching Certificate or Diploma

Other EMCC Practitioner Programme

The legal entity purchasing this Programme is

A registered business (Continue this section)

A private individual rather than a registered business. (Proceed to Private Individual section)

YOUR COMPANY DETAILS

Company name

Registered company address

VAT (if applicable)

Accounts Contact Name to send invoice to (if required)

Accounts Contact Email to send invoice to (if required)

Purchase Order / Reference Number to be quoted on the invoice (if required)

For Private Individuals purchasing this Programme, please include your home address details to add to the invoice.

YOUR PAYMENT PLAN

Which payment plan will you be using?

Payments schedule (UK VAT may be charged to UK based Individuals & businesses only)

Upfront payment in full. $5,999 Standard Pricing

4 Instalments. $6,299 total if paid in instalments – initial deposit of $1,577 plus $1,574 after each term (due 15 July, 18th November & 24th March 2024)

Which payment method will you be using?

Payment type

Bank Transfer (US$, € or £)

Debit/Credit Card (Visa, Mastercard, American Express)

If you are human, leave this field blank.

Coaching

Coaching Culture

Diversity

Mentoring

Supervision

Talent Management

Team Coaching

CMI Senior Practitioner Application Form