Action Learning Set Programme for Managers (non-First
Line)
Registration of Interest Form
Please register your interest in participating in the Action Learning Sets (ALS) by completing the
statements below, and by indicating your preference for a set based on your availability to attend all
meetings for that/those set(s).
1. What current issues would you like to address in the ALS meetings?
2. What do you expect to gain and learn from the experience?
Dates
Please indicate below your order of preference (1st, 2nd, 3rd, 4th) for the group options, or put ‘X’ for
the groups that you don’t want to select.
Note: It is not possible to swap or pick-and-mix dates or times across sets, you must be able to
attend all of a particular set’s meetings.
Nov
Dec
Jan
Feb
Mar
April
Mon 4th
Mon 2nd
Mon 13th
Tues 11th
Tues 18th
Weds 16th
Mon 11th
Thurs 12th
Thurs 9th
Mon 17th
Thurs 13th
Group
Option
Session times
A
9.30am-12.30pm
B
1.30-4.30pm
C
9.30am-12.30pm
D
1.30-4.30pm
Thurs 24th
Preference
Applicant:
By signing this declaration, I agree to commit my time and effort to the ALS programme.
Name: ……………………………………………………………….
Email: ……………………………………………………………….
Faculty/Support Dept: ………………………………………………..
Signed: ………………………………………………………………
Date: ……………………………….
Heads of Department
Action learning can only have an impact on the business when the participants are given some
responsibility for implementing the solutions, be that the introduction of new ways of working or the
achievement of complex tasks. It is therefore essential that as the Head of Department, you actively
support your managers who are taking part in the programme, with their improvement plans.
Head of Department:
I agree to support the above-mentioned manager in their participation in the ALS Programme.
Signed: ………………………………………………………………
Date: ……………………………….
Print Name: ………………………………………………………
Please submit this form to OSDT by post to Room 1D12, Technopark, Southwark Campus, or email
a scanned copy to osdt@lsbu.ac.uk.
Any queries should be directed to Jennifer Aldridge, Learning and Development Administrator,
x6210, jennifer.aldridge@lsbu.ac.uk, or Janet Cattini, Learning and Development Manager, x6262,
janet.cattini@lsbu.ac.uk.