European ESTS International Leadership and Management (ILM) Development Program 26 – 27 November 2015 Rose Bowl, Leeds Beckett University, Leeds, UK This course is accredited to an ILM Level 5 Award in Leadership and Management and aims to enable participants to consolidate effective managerial strategies whilst increasing personal awareness and impact; make the transition from managing operational outputs to developing leadership skills and achieve more strategic goals. The course will prepare future team leaders in Thoracic Surgery and will allow existing leaders to refresh and update their managerial skills. Core aims of the course: • Use standardised management techniques to drive better results. • Develop the ability to lead, motivate and inspire. • Provide strategic leadership as well as day-to-day management. • Benchmark managerial skills. • Understand Business Innovation, therefore influencing a range of stakeholders. Registration Form Please return this form by Monday 28 September 2015 to: Email: sue@ests.org.uk Tel: + 44 1392 430671 Please complete clearly in BLOCK letters: Dr/Prof/Mr/Mrs/Miss Family Name: ............................. ………….. First Name: ............................................. Organisation: ....................................................................................................................................................... Department Head…………………………………………………………Fax Number:……………………………… Address: .............................................................................................................................................................. City, Postal Code: .......................................................... Country: ......................................................................... Telephone:..................................................................... Mobile Tel: .................................................................... Email 1: ………………………………………………… Email 2: ………………………………………………….. 1. Registration: Important please note: If you are staying in Leeds for additional nights you are required to make your own arrangements. Registration fee: 700 euros Please tick the box that refers to you: □ ESTS Member □ ESTS Non Member The registration fee includes: Pre-course preparation questionnaire Admission to the course programme After course coaching with the Emotional Quotient Inventory (EQ-i) psychometric tool questionnaire. Conference material Certificate of attendance or on successful completion of two assignments with coaching will be awarded internationally recognised ILM Level 5 award in Leadership and Management. Coffee and luncheon breaks on 2 days Wine Tasting and Course Dinner 2 nights, single room, The Radisson Hotel, Leeds, UK Registered Charity 1094888 European 2. Hotel Accommodation: Accommodation, single room, is included in the registration fee from check-in on 25 November 2015 until check-out on 27 November 2015. 3. Booking Details: Please state any special dietary requirements you may have:................................................................................. 4. Payment: Payment by Bank Transfer Account Name: European Society of Thoracic Surgeons Bank: Royal Bank of Scotland Account No. ESTSX-EURC IBAN Code: GB 75 RBOS 1610 7010 0206 45 SWIFT/BIC Code: RBOS GB 2L Bank sort code: 16-10-70 Payment must be made in full and bank charges will not be paid by ESTS and are to be paid by the participant. We do not accept cheques. Payment by Credit Card (Signature of card holder required) Credit card payments incur a 3% fee Visa Mastercard Card number: ............................................................................... Expiry date: ................................................ Cardholder's name: ........................................................................................................................................... Signature: ..................................................................................... Date: .......................................................... 5. Cancellation Policy/Terms and Agreement: Payment must be received by ESTS by 28 September 2015. If payment is not received in due time, your participation cannot be guaranteed. 50% of the registration fee will be reimbursed up to 14 days before the course. No refund will be granted after that date. A change in VAT may lead to different prices. ESTS cannot be held responsible for any loss or damaged incurred Please indicate by signing that you agree to the above terms (Name) ………………………………………. Registered Charity 1094888