Enrolment Form and Learner Agreement Blueprint Education and Training Services Limited 186 Kempshott Lane Basingstoke, RG22 5LB 0845 8620 140 enquiries@managers.gb.com Fax: 01256 830111 Now that you have chosen your course(s) you need to fill in the enrolment form on the following pages. Complete ALL sections of the form – failure to do so will delay the processing of your enrolment. Sign the form – (electronic signature type name - is fine if using email). If you have any questions that you would like to ask before you enrol for a course, please call 0845 862 0140 Section 1 - About You First Name Family name Home address Post code Day time Contact tel. no. Date of Birth Email address Job title Employer Name and address: Brief outline of qualifications to date Job title & brief outline of main responsibilities We are committed to equality of opportunity. To help us monitor the provision of access and support, please complete this and the following statements. I consider that my ethnic origin is: Bangladeshi Black Caribbean Chinese Pakistani White British White other Black African Black other Indian Other Asian Other No Answer Male Female I regard myself to be: Do you have any disability or learning difficulty which we should be aware of? Yes No If yes please provide details in the space below of how you think this might affect your learning. I understand that all study, assessments and feedback will be in English. I consider English to be my main language of communication. If you have answered No, please give details of your English language proficiency Yes No Section 2 – Your Programme of Study I would like to enrol on the following course: Course title Planned start date [when you would like to start your course] Course fee £ Discount code if any: NB. Instalment options are available ONLY if you are paying your own fees and must be paid by credit/debit card or paypal. Further information is available on our website. Tick here if you would like to pay by instalments, your course will be cancelled if payments are not made. I am now or have previously been a member of: Chartered Management Institute Membership number if known Institute of Consulting I confirm that I have received advice and guidance on the above course and its requirements either direct from Blueprint or by accessing information on the Blueprint website. I understand that acceptance onto this course of study is no guarantee of success. Yes No What happens next? When your enrolment and payment of fees have been processed, you will either receive an email with instructions on how to log into the i-cademy portal if your course is delivered that way or you will be sent your physical study materials. These will be sent either by courier or by registered post and will need to be signed for on arrival to confirm delivery. Please tell us below about the best way of doing this. I am happy for Blueprint to send items to my home address overleaf by courier or by registered post to be signed for on arrival. I will make my own arrangements to collect them from the depot if I am not at home. I am happy for Blueprint to arrange for items to be left either in a safe place or with a neighbour Yes No Yes No Yes No Please give details Please send all items which need confirmation of delivery to an alternative address Please give details Please tell us how you heard about us: Search engine CMI website Friend Our Newsletter Advert Government online portal Our website Other … In order to complete your enrolment you should continue to the next page and give details of how you wish to pay the fees for the course. Remember that Blueprint fees are fully inclusive of materials, registration and assessment costs. Section 3 - Payment Options - If you have already paid for your course online you may ignore this section. PAYMENT BY INVOICE TO EMPLOYER Please send an invoice to my employer: Please complete details of your employer. This section is compulsory if your employer is to be invoiced. Company name Company address Postcode Telephone no. Website Contact name VAT NUMBER Nature of business Contact email address Purchase order number PAYMENT BY CREDIT CARD If you would like to pay by credit or debit card please do not provide your credit card details here, or by email. These methods are never totally secure and we value the security of your card details and identity. Instead please indicate below your preferred methods of payment card and we will email you a link that will take you to a secure payment areas that is managed and maintained by SagePay. Your course enrolment will not be processed until payment is received. I wish to pay be credit card or debit card. Please email me my link to a secure payment area. I wish to pay using my Paypal account. Please email me my link to Paypal payments. PAYMENT BY CHEQUE Please find enclosed a cheque for the amount of: £ Data Protection Act 1998 The information you provide will be kept by Blueprint Education and Training Services Limited. Blueprint Education and Training Services Limited is registered under the Data Protection Act 1998. I understand that the information I provide on this form will be held on computer and will be used for the purposes of evaluation, statistical and research. The information will not be passed to third parties for marketing or sales purposes. From time to time you may be approached by us to take part in surveys by mail or phone which enable us to monitor our performance, improve quality and plan future provision. The results and your comments may be used in marketing materials. Signature Date electronic signature - type name - is fine if using email) Please now complete section 4, which is about making the unit choices for your course. For Blueprint use Enrolment entered on system Invoice dispatched Start date agreed Tutor allocated Resources organised Registered with awarding body Section 4 – Course options. You now need to review the units available for your course and make the necessary choices. Please confirm your chosen qualification e.g. Award, Certificate or Diploma AND choice the units you will study. Consulting courses: Level 7 Professional Consulting Confirm which qualification you are enrolling upon Award – choose unit 7030 only Please contact us if you want a different choice Make your UNIT choice(s) by ticking the box(s) Units available 7030 Managing consultancy interventions Credit 6 Level 7 Professional Consulting Confirm which qualification you are enrolling upon Certificate – 2 unit option Choose unit 7030 + one other unit Make your UNIT choice(s) by ticking the box(s) Units available 7030 Managing consultancy interventions Credit 6 7026 Organisational structure and culture Credit 8 7031 Tools and techniques for effective consulting Credit 9 7027 Entry and diagnosis Credit 9 7028 Group dynamics and facilitating skills Credit 7 7029 Communication strategies the consultants Credit 7 Certificate – 3 unit option Choose unit 7030 + two other units For a Certificate you must gain a minimum13 credits in total Level 7 Professional Consulting Confirm which qualification you are enrolling upon Diploma – 4 MANDATORY UNITS Plus A choice of THREE units from : Unit choices must total 20 credits NOTE: Unit 7002, 7006, 7009 are also available as part of the Level 7 Strategic Management Programme. If you have already achieved these you can carry the credits to this qualification. Make your UNIT choice(s) by ticking the box(s) Units available 7030 Managing consultancy interventions Credit 6 7027 Entry and diagnosis Credit 9 7026 Organisational structure and culture Credit 8 7031 Tools and techniques for effective consulting Credit 9 7028 Group dynamics and facilitating skills Credit 7 7029 Communication strategies the consultants Credit 7 7024 Professional practice Credits 6 7025 Professional development in consulting Credits 7 7002 Strategic performance management Credit 7 7006 Organisational direction. Credit 9 7009 Strategic project management. Credit 6 7010 Organisational Change. Credit 7 Level 5 Professional Consulting Confirm which qualification you are enrolling upon Award – choose unit 5029 only Please contact us if you want a different choice Make your UNIT choice(s) by ticking the box(s) Units available 5029 Introduction to consulting essentials Credit 8 Level 5 Professional Consulting Confirm which qualification you are enrolling upon Certificate – 2 units Choose unit 5029 + one other unit For a Certificate you must gain a minimum13 credits in total Make your UNIT choice(s) by ticking the box(s) Units available 5029 Introduction to consulting essentials Credit 8 5030 Planning and managing consultancy interventions Credit 6 5031 The role and responsibilities of a consultant Credit 8 5032 The client relationship Credit 8 5033 Communications consultants Credit 7 5034 Problem-solving tools and techniques for consultants Credit 9 Level 5 Professional Consulting Confirm which qualification you are enrolling upon Diploma – 3 MANDATORY UNITS Plus We require you take this unit as one option Plus A choice of TWO further units from : NOTE: Unit 5009 is also available as part of the Level 5 Management and Leadership Programme. If you have already achieved this you can carry the credits to this qualification. Please contact us. Make your UNIT choice(s) by ticking the box(s) Units available 5030 Planning and managing consultancy interventions Credit 6 5032 The client relationship Credit 8 5034 Problem-solving tools and techniques for consultants Credit 9 5029 Introduction to consulting essentials Credit 8 5031 The role and responsibilities of a consultant Credit 8 5033 Communications consultants Credit 7 5009 Project development and control Credit 6 6003 managing the change process Credit 7 Management courses: Level 7 Strategic Management and Leadership Confirm which qualification you are enrolling upon Award – choose ONE unit only For the Award you must gain 6 credits from a free choice of units. Certificate – Choose a MAXIMUM of TWO units For the Certificate units must total 13 credits from a free choice of units. Diploma – Choose units to total 39 credits. For the Diploma units must total 39 credits from a free choice of units. MAXIMUM of SIX units Extended Diploma – 6 MANDATORY UNITS 7001 – 7006 Plus A choice of THREE units from 7008 -7014 For the Extended Diploma units must total 66 credits. Level 5 Management and Leadership Confirm which qualification you are enrolling upon Award – choose ONE unit only For the Award you must gain 6 credits from a free choice of units. Certificate – Choose a MAXIMUM of TWO units For the Certificate units must total 13 credits from a free choice of units. Diploma – Choose units to total 38 credits For the Diploma units must total 38 credits from a free choice of units. MAXIMUM of SIX units Extended Diploma – 5 MANDATORY UNITS: 5001, 5002, 5004, 5005, 5006 Plus Either 5003 OR 5012 Plus A choice of THREE units from 5007 - 5021 For the Diploma you must gain 62 credits from a total of nine units NB Unit 5020 is not recommended as a Diploma option as it is designed for Award and Certificate candidates Make your UNIT choice(s) by ticking the box(s) Units available Credit value 7001V1 Personal development as a strategic manager. 7002V1 Strategic performance management. 7003V1 Financial Management 7004V1 Strategic information management. 7005V1 Conducting a strategic management project. 7006V1 Organisational direction. 7008V1 Strategic marketing. 7009V1 Strategic project management. 7010V1 Organisational change. 6 7011V1 Strategic planning. 9 7012V1 Human resource planning. 7013V1 Being a strategic leader. 7014V1 Strategic leadership Practice. 7021V1 Developing risk management strategies. TOTAL CREDITS 8 7 7 9 Make your UNIT choice(s) by ticking the box(s) Units available Group A 5001V1 Personal development as a manager and leader 5002V1 Information based decision-making 5004V1 Resource management 5005V1 Meeting stakeholder and quality needs 5006V1 Conducting a management project Group B 5003V1 Performance management 5012V1 Being a leader. Group C 5007V1 Financial control. 5008V1 Marketing planning 5009V1 Project development and control. 5010V1 Human resource development 5011V1 Managing recruitment and selection 5013V1 Leadership Practice 5020V1 Introduction to management and leadership 5021V1 Operational risk management 6003 Planning a change process Available for Extended Diploma only Unit 6003 is only for Extended Diploma TOTAL CREDITS 7 7 9 10 9 6 6 7 Credit value 6 7 7 6 10 9 7 9 9 6 6 7 7 7 7 Level 3 First line management Confirm which qualification you are enrolling upon Award – choose ONE unit only For the Award you must gain 6 credits from a free choice of units. Certificate – Choose a MAXIMUM of THREE units For the Certificate you must gain 13 credits from a free choice of units. Diploma – 5 MANDATORY UNITS 3001 – 3005 from Group Plus ONE units from Group B For the Diploma you must gain 37 credits. NB Unit 3017V1 is not recommended as a Diploma option as it is designed for Award and Certificate candidates Make your UNIT choice(s) by ticking the box(s) Units available Group A 3001V1 Personal development as a first line manager 3002V1 Resource planning 3003V1 Meeting stakeholder needs 3004V1 Managing and communicating information. 3005V1 Developing individuals and teams. Group B 3006V1 Recruitment and selection 3007V1 Maintaining quality standards 3008V1 Improving team performance 3009V1 Management communication 3010V1 Being a leader 3017V1 Introduction to first line management Credit value 6 6 6 6 6 6 6 7 6 6 6 TOTAL CREDITS Level 2 Team Leading Confirm which qualification you are enrolling upon Award Make your UNIT choice(s) by ticking the box(s) Units available 2001V1 Personal development as a team leader Credit 6