Coaches and/or Mentors

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Complete the form to join all Coaches and/or Mentors who demonstrate their credibility and
commitment to excellence in the coaching and mentoring industry.

Application and Renewal Fees

All fields are mandatory unless otherwise indicated.

Name(Required)

Prefix First Middle Last

Email(Required)

Your email address will only be used to contact you in relation to your Directory entry, surveys, and newsletters.
If your email address changes you will have the facility to provide the updated/new email address.

Enter Email Confirm Email

Telephone(Required)

Your telephone number will only be used to contact you in relation to your Directory entry.

Photograph

All photographs will be sized to 250px x 250px, therefore it would be beneficial if you could upload a photograph that is sized correctly or could be re-sized.
Where you do not upload a photograph, the system will submit a silhouette.

Accepted file types: jpg, jpeg, gif, png, Max. file size: 10 MB.

COMPANY/BUSINESS/ORGANISATION DETAILS:

Do you trade under the name you have entered above, or a different Company/Business name?(Required)

If you select 'yes', your Directory entry will show the 'Name you use for your business' as entered above.
If you select 'no', you will be asked to enter your Company/Business name below.

Company name:(Required)

Please enter your Company or Business Name as you want it to appear on your Directory entry.
This name will also appear on your invoice.

Date you or your company/business/organisation started trading(Required)

YYYY

Legal Entity Structure:(Required)

Please enter the legal entity structure as found on Wikipedia

Company Reference Number as issued by UK's Companies House, HMRC, or other relevant organisations.(Required)

Registered Office Address:(Required)

Registered Office Address as registered with UK's Companies House, HMRC, or other relevant organisations.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Do you have a different Trading Address?(Required)

Trading Address:(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Logo

Your logo can be uploaded for display on the Directory Entry. This is in addition to your photograph and will be displayed on your Directory Entry in addition to your photograph.
All logos will be sized to 250px x 250px, therefore it would be beneficial if you could upload a logo that is sized correctly or could be re-sized.

Accepted file types: jpg, jpeg, gif, png, Max. file size: 10 MB.

DECLARATIONS:

Untitled(Required)

I agree to adhere to the Coaching and Mentoring industries Codes of Conduct.

Untitled(Required)

I agree to adhere to the Coaching and Mentoring industries recognised Standards and Ethics.

Untitled(Required)

I agree to adhere to the Coaching and Mentoring industries recognised Core Competencies.

Untitled(Required)

I agree to adhere to the Coaching and Mentoring industries recognised Disciplinary Procedures.

Untitled(Required)

I recognise the Coaching and Mentoring industries Ombudsman Service.

CONFIRMATION:

Accreditation, Credential, Qualification, Student?(Required)

Are you accredited/credentialled by a Coaching and/or Mentoring Professional Body? Are you qualified as a Coach and/or a Mentor? Are you a coaching and/or mentoring student?

Coaching or Mentoring Professional Body(Required)

Please confirm the Professional Body through which you have gained your accreditation/credential.

Coaching or Mentoring Professional Body: Other

Coaching, Mentoring or Both?(Required)

Please confirm whether you are qualified as a coach, a mentor, or both a coach and a mentor.

Coaching, Mentoring or Both?(Required)

Please confirm whether you are training to be a coach, a mentor, or both a coach and a mentor.

Education Body(Required)

Please confirm the University, College, or School you have trained, or are currently training, with.

Education Body: Other(Required)

Training Organisation(Required)

Please confirm the Commercial Training Organisation you have trained, or are currently training, with.

Training Organisation: Other(Required)

Certificate(s)(Required)

To confirm your accreditation status please upload your current certificate(s).

Drop files here or

Accepted file types: pdf, jpeg, jpg, Max. file size: 10 MB, Max. files: 2.

Certificate(s)(Required)

To confirm your qualification please upload your certificate(s).

Drop files here or

Accepted file types: pdf, jpeg, jpg, Max. file size: 10 MB, Max. files: 5.

COACHING AND/OR MENTORING:

Services:(Required)

Do you provide Coaching, or Mentoring, or both Coaching and Mentoring?

Experience:(Required)

How many years have you been working in the coaching and mentoring industry?

Biography/CV/Description:(Required)

ADDITIONAL DIRECTORY INFORMATION:

'Contact Me' button:(Required)

On your Directory entry, the IRCM will publish contact details so that the consumers may contact you directly.
Where you select not to provide this information, the IRCM will not be able to publish contact details for you.
Would you prefer to use an email address or a webpage for your contact details?

email address(Required)

Please enter the email address for publication on your entry in the IRCM's Directory.

webpage(Required)

Please enter the full webpage address including https://. Thank you.

Additional Information:

Terms and Conditions(Required)

Terms, Conditions, and Toolkits for Registered Coaches and Mentors.

I confirm that I am applying to REGISTER on the IRCM’s Coaches and Mentors Directory. I agree to abide by the IRCM’s Toolkit and I give my authority for the information submitted on this form and through other communication methods to be shared on the IRCM's Coaches and Mentors Directory once payment is confirmed.

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Currently, all information provided by and correspondence with the IRCM is in English.

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