PLEASE COMPLETE AND FORWARD TO:
ORGANISATIONAL DEVELOPMENT, HUMAN RESOURCES BRANCH
DIVISION OF SERVICES AND RESOURCES
This form is to outline the proposed Leadership Coaching Program. Approval from Executive Dean / Divisional Head is required prior to the commencement of Leadership Coaching Program.
Leader (Coachee) .............................................................................................................................................................
Direct Manager ............................................................................................................................................................
Leadership Coach .............................................................................................................................................................
PROPOSED LEADERSHIP COACHING PROGRAM
DEVELOPMENT OBJECTIVES & MEASURES TO EVALUATE SUCCESS:
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COACHING PROGRAM & INVESTMENT:
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Total Investment $
FUNDING:
Individual leadership coaching programs are funded by the Branch/Division of the Leader being coached.
Branch/Division ...................................... Account Code: UNIAD /_ _ _ _ / _ _ / _ _ _ / _ _ / 2013 / _ _ _ _ _ _ _
SIGNED:
Leader (Coachee): Signature: ........................................................................................... Date: .......................
Leadership Coach: Signature: ........................................................................................... Date: .......................
AUTHORISATION
Direct Manager / Executive Dean: (For approval)
Name (please print): .......................................................... Signature: ...................................................................Date: ......................
Human Resources
Authorised by
Warning
Coaching Brief Form
Acting Associate Director, organisational development and Strategy
Effective Date:
Review Date:
1 December 2012
1 December 2013
Hard copies of this document are considered uncontrolled. Please refer to the Human Resources website for the latest version
Version 1.2
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