Apply for our Executive Coaching Programme Improve your effectiveness as a coach and develop your coaching career Step 1 of 4 25% Section 1About youName(Required) First Last Phone (Personal)Phone (Work)Address(Required) Address Address line 2 Town / city Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email (Personal)(Required) Email (Work) Have you previously applied to or studied with the Tavistock and Portman?(Required)NoYesDo you have any criminal convictions?(Required)NoYesAs an NHS organisation working with vulnerable adults and children we have an obligation to ask potential participants attending our courses if they have criminal convictions, and if relevant we will discuss further whether convictions will be a barrier to participation at interviewCountry of birth(Required) Legal nationality(Required) Do you require a visa to participate in this programme?(Required)NoYesThis programme does not require a visa to study, but as a Higher Education provider we ask participants to confirm their status if they are an international student. Participants are responsible to ensure they have a visitors’ visa if needed to attend the in person training sessions. Section 1 continuedAbout youJob title / Occupation(Required) Current role and responsibilities(Required)Brief description of duties and responsibilities in current rolePersonal statement(Required)Use this space to provide information in support of your application including reasons for applying for the programme, reasons for wishing to study with us and any relevant practical experience, interests and achievements. This statement must be your own work. (Word Limit 300-700) Section 2Programme dates and fees2024 – November Entry Module 1: 7/8 Nov 2024 Module 2: 13/14 Nov 2024 and Group supervision 1: 15 Nov 2024 Module 3: 10/11 March 2025 and Group supervision 2: 12 March 2025 Module 4: 28/29 April 2025 and Group supervision 3: 30 April 2025 Module 5: 23-24 June 2025 and Group supervision 4: 25 June 2025 15 Sep 2025 (all day, group supervision 5 and 6) 17 Nov 2025 (all day, group supervision 7 and 8)Attendance confirmation(Required) I confirm I can attend all the above dates Total programme fee for home/EU students*(includes all taught modules, individual and group supervision) £9,500 *A discounted rate is available for current employees of the Tavistock and Portman NHS Trust and alumni of one year or longer from postgraduate academic programmes at the Trust. Please state which course you took at Tavistock and Portman NHS Trust in your personal statement. Please contact us if you have any questions. Only one fee reduction is applicable per place. An offer of a place on the course will be made once the interview has been successful and your application to join the Executive Coaching Programme has been approved. Following acceptance of our offer, you will be invoiced for the whole course. Your place will be deemed confirmed once payment has been received.Name of the fee payer (individual or organisation)(Required) Job title (if applicable) Address of the fee payer(Required) Address Address line 2 Town / city Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Sector(Required) Private Public NHS Self-funding Voluntary How did you hear about this programme? Confirmation(Required) I agree that the information provided is accurate and correctTodays date(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920An offer of a place on the course will be made once the interview has been successful and your application to join the Executive Coaching Programme has been approved. Following acceptance of our offer, you will be invoiced for the whole course. Your place will be deemed confirmed once payment has been received.In the event of a late course booking cancellation the following scale charges will apply: After the place is accepted: 25% payable (£2,375) A week before the start of the course: 50% payable (£4,750) After the start of the course: 100% payable (£9,500) In the event of having to defer your place, you can transfer onto the next year’s course. Fees will remain at the level when you applied. Any further deferment would require you to reapply for the programme and pay the most current programme fees. Contact preferences Yes please, I’d like to opt-in to receive marketing emails from the Tavistock and PortmanSubject areas you are interested in(Required) Adult mental health Forensic mental health Management leadership skills Mental health nursing Perinatal mental health Social work and social care Working with children, young people and families Unsure at this stage Which opportunities are you interested in(Required) Digital Academy courses Free events and webinars Long and postgraduate courses Open days and events Short CPD courses, lectures and conferences Bespoke training
