Results Driven Group

Head Office
Cumberhills Road
DUFFIELD
Derbyshire
DE56 4HA

Tel: 0845 094 0587

E: info@resultsdrivengroup.co.uk

Dear Delegate

Re: The ILM Level 5 Certificate in Coaching and Mentoring in Management

I would like to thank you for expressing an interest in enrolling on the ILM Level 5 Certificate in
Coaching and Mentoring in Management.

As part of the pre-programme registration process could you please fill in the registration form below and
return it ASAP to info@resultsdrivengroup.co.uk.

The programme will take place at The Horsley Lodge Golf Club in Derbyshire (See map).

This is a 7 day programme and all of the training will run from 09:30 to 16:00. The programme dates are:

1. 23 September 2010
2. 06 October 2010
3. 20 October 2010
4. 04 November 2010
5. 18 November 2010
6. 02 December 2010
7. 19 May 2011

The programme is very interactive with practical coaching being at its heart; you will receive constructive
feedback on your coaching style that will help you build your confidence as an executive coach.

Programme costs – the course costs £1,295 plus VAT per person.

If you have any queries then please ring us on 0845 094 0587 or email us at info@resultsdrivengroup.co.uk.

We look forward to seeing you on 23 September 2010.

Kind Regards

Chris Goodwin
Managing Director
Results Driven Group
www.resultsdrivengroup.co.uk

We have all the pieces to make your business work results driven group
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 Enrolment Form
Results Driven Training is required to comply with the provisions of the Data Protection Act 1998
in relation to how we handle any personal data which we obtain from you. Any personal
information gathered will only be used in the context of your training with us. We may also
collect Sensitive Personal Data relating to you but only with your explicit consent in advance.
We may process all the information we obtain from you to enable us to fulfil our contractual
obligations to you and we may request further information from third parties or disclose your
details to other selected third parties, such as ILM, City & Guilds or their regulators or industry
bodies.

Forename(s):

Surname: Date of Birth:

Home Address:

Post Code: Tel No:

Email address:

Employer Name:

Highest qualification gained to date (eg NVQ level 2):

Course:

Year:
Any other training undertaken:
Course: Duration: Year:

Future aims – including short term and 5 years plus:

We have all the pieces to make your business work results driven group
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Results Driven Training and the ILM are committed to Equal Opportunities for all, regardless
of race, colour, ethnic or national origin or disability. In furtherance of this policy, we ask
for your co-operation in completing the appropriate boxes below:

Ethnic origin: Disability:

1 White Non-Disabled
2 Black – Caribbean Disabled
3 Black - African
4 Black – Other Black Groups
5 Indian
6 Pakistani
7 Bangladeshi
8 Chinese
9 Other

Qualification Details

ILM Level 5 Certificate in Coaching and Mentoring in Management

Signature: Date:

We have all the pieces to make your business work results driven group
Page 3 of 4
Map & Directions

Road. Horsley Lodge is about 20 minutes from the M1 at junction 25 if coming from the south or junction
28 if from the north.

From the A38 north of Derby take the “Belper/Kilburn” exit and follow the tourist signs.

Sat Nav: Smalley Mill Road, Horsley, Derby, DE21 5BL

Horsley Lodge East Midlands View

Rail: Derby station is 15 minutes away

National Rail Enquiries or call 08457 48 49 50
www.MidlandMainline.com

Air: Nottingham East Midlands Airport is 25 minutes away

www.easyjet.com
www.ba.com
www.bmibaby.com

Road: Horsley Lodge recommended taxi firms for Air and Rail
Airport Cars (Emata): 01332 812009
Advent Couriers LTD: 07969752329
75 Taxis: 01332 757575
Derby Cabs: 01332 722722
Chad's Cars: 01332 280555

Address for Horsley Lodge

Smalley Mill Road, Horsley, Derbyshire, DE21 5BL

Tel: 01332 780838

We have all the pieces to make your business work results driven group
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