Coaches and/or Mentors

COACHES AND MENTORS DIRECTORY ENTRY:
Additional Information, Changes to Existing Information, or updates to Information published.

TO SUBMIT UPDATED DETAILS, PLEASE COMPLETE THE FORM BELOW:

All fields are mandatory unless otherwise indicated.

Name(Required)

Prefix First Middle Last Suffix

Date of Change:(Required)

format = DD/MM/YYYY

Reason for Change:(Required)

CONTACT DETAILS:

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.

Telephone(Required)

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

Has your Photograph changed?(Required)

Photograph(Required)

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, Max. file size: 100 MB.

COMPANY/ORGANISATION DETAILS:

Is the name you have entered above, the name you use for your business?(Required)

Have you changed the name you use for your business?(Required)

Please enter the new Name you use for your business(Required)

This is the name that will appear on your Directory entry.

Prefix First Middle Last Suffix

Has the Company name changed?(Required)

Company name:(Required)

Please enter your new Company or Business Name.

What date did the Company name change?(Required)

YYYY

Has the Legal Entity Structure changed?(Required)

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)

Has the Registered Office address changed?(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

Has the Trading address changed?(Required)

Trading Address:(Required)

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

Has the logo changed?(Required)

Logo(Required)

Your logo can be uploaded for display on the Directory Entry. This is in addition to your photograph, which will be displayed on the Directory List as well as on the Directory Entry
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, Max. file size: 100 MB.

COACHING AND/OR MENTORING:

Have the services changed?(Required)

Coaching only,
Mentoring only, or
Coaching and 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?

QUALIFICATIONS and EXTERNAL VALIDATION:

Have you completed any further training or gained any further qualifications?(Required)

Qualified: Details(Required)

You can enter as many additional course/workshop details as applicable. For each, please enter the following:
1. The name of your Formal Education Body or Private Commercial Training Organisation or Coach/Mentor who provided your training.
2. Name of the course/workshop that you attended.
3. Qualification. Not every course or workshop provides a qualification and where this is the case please enter 'N/A'.
4. The date on your qualification certificate, or where there is no qualification, the date you complete the course.

Name of training organisation:

Name of course/workshop:

Qualification (if awarded after course/workshop):

Date qualified:

Have you renewed your External Verification, or changed your External Verification, or added to your External Verification?(Required)

External Verification: Details(Required)

You can enter as many accreditation/credential details as applicable. For each, please enter the following:
1. The name of the Professional Body who awarded your accreditation/credential.
2. Name of the accreditation/credential awarded. Please include both the abbreviation as well as the full title i.e. ACC - Associate Certified Coach
3. The date of your accreditation/credential award.
4. The renewal date of your accreditation/credential.

Name of Professional Body:

Name of the accreditation/credential awarded:

Date accreditation/credential:

Renewal date:

Have you Contact Me details changed?(Required)

'Contact Me:' button:(Required)

On your Directory entry, the IRCM will publish contact details so that the consumers may contact you directly. Please enter your contact email address and your website "contact me" page. In the 'preference' field please enter which you would prefer to use - website or email address.
Where you select not to provide this information, the IRCM will not be able to publish contact details for you.

email address

website (contact page)

preference

ADDITIONAL INFORMATION:

Confirmations:(Required)

I confirm that I am applying to update/change the details on the IRCM’s Coaches and Mentors Directory.

I agree to abide by the IRCM Directories Terms, Conditions, and Toolkit for Coaches and Mentors.

I give authority for the information submitted on this form and through other communication methods to be shared on the IRCM Directory for Coaches and Mentors.

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

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