Action Learning Application Name * First Name Last Name Email * Phone Number * For emergency purposes only Programme * Select which programme/s you wish to apply for Join a Set as an Individual Action Learning for team/group/company Training: UTCT cert. Action Learning Facilitator Training: UTCT dip. Group Learning Facilitator External certification: Action Learning Coach Preferred Start Dates * April 2024 Summer 2024 September 2024 Autumn/Winter 2024 2025 Any Depends! (explain in final box) Other (explain in final text box) Previous Experience of Action Learning * No prior direct experience Attended UTCT taster/Induction/intro Participated via other provider Participated in a UTCT Set UTCT certified AL Facilitator/Coach Trainer/Facilitator/Coach via another provider Contact Details for Invoice (if relevant) Fulll name, address and email Access Requirements Any health, vision, hearing or other access issues we need to be aware of? Role/Position/Job Title/Field of Work/Company * Payment Choice * Method of payment Invoice Payment in full with card via website Deposit by card via website Gift Voucher To discuss bursary/instalment plan To discuss funding a bursary place Other (explain in final box) Mailing List Do you wish to stubscribe to the mailing list? Yes I'd like to receive occasional info & offers Yes but only regarding Action Learning I am already subscribed No thank you Any questions/queries? Anything else we need to know?: Thank you for your application. You will receive an email shortly to progress your request. If paying by card please visit bookings & payments. You can book a discovery call, via the online calendar.If you do not hear from me within 5 days of submission, please email am@underthecarobtrees.com.