Workplace Coaching Participant Enrolment Form
This page is for participants in a program that is due to commence and should be filled in between two weeks prior to a program commencing, up to the close of business on the day prior to commencement. It will take between 10 to 20 minutes to complete this form. Please complete all the following questions and read the terms and conditions below then press Submit this form at the bottom of the page. If you have any questions contact Matt Rule. PART 1: YOUR DETAILS Company name Name of the program Date program commences City program is being run in Your name Business phone number Mobile phone Email Job title Describe your current role in less than 50 words How long you have been in this position? COACHING INFORMATION Please outline any relevant education, training and personal development experience, courses or qualifications that you feel relate to coaching. Are you currently being coached at work? Yes No If yes, who is coaching you? Please select from the following list: Please select from the list My direct manager Someone else in the organisation An external coach Have you ever had training to coach others at work? Yes No If yes, how much formal training in coaching skills have you received? Please select from the following list: Please select from the list None Less than one hour 1 - 3 hours Whole day 1 - 2 days 3 - 4 days Over 4 days Please list your top three achievements (personal or professional) in the last year Please write in a couple of sentences how a work colleague might describe you List 3 specific work/business related measurable goals that you would like to achieve in the next 3 months Any other comments PART 3: TERMS & CONDITIONS OF PARTICIPATING IN THIS PROGRAM 1. CONFIDENTIAL INFORMATION (a) Any information in relation to the management or operation of the business of Results Coaching Systems Pty Ltd ("RCS") (including without limitation the intellectual property rights in the processes, techniques, presentations, methodologies, precedents and materials used in the training activities, as well as in its company name and corporate logo and any materials relating to the policies and procedures of coaching) which might be disclosed or made available to me before, during or after this Agreement ("Confidential Information") is and shall be the sole and exclusive property of RCS. (b) I covenant and undertake that I shall keep confidential all Confidential Information and not disclose any Confidential Information to any person, except: (i) as may be required by law; (ii) with the prior written consent of RCS; or (iii) to my agents, employees or professional advisers in accordance with my performance of my obligations in being trained as an RCS coach. (c) I undertake to maintain proper and secure custody of all Confidential Information and use reasonable endeavors to prevent the use or disclosure of the Confidential Information by third parties (either by me or my employees, servants or agents) and to promptly notify RCS if I become aware of any breach of confidence by any person to whom I divulge all or any part of the Confidential Information and shall give RCS all necessary assistance in connection with claim which we may institute against such person for breach of confidence or otherwise. (d) My obligations under this Clause shall survive the expiration of this Deed and shall be enforceable by RCS at any time at law or in equity. 2. INTELLECTUAL PROPERTY (a) I acknowledge RCS as the sole owner of: (i) the intellectual property rights in the processes, techniques, presentations, methodologies, precedents and materials used in the training activities, as well as in its company name and corporate logo and any materials relating to the policies and procedures of coaching (as modified from time to time); (ii) any trade marks, business names, logos and graphic images (whether registered or unregistered) used in connection with its business or which may be as notified by RCS to me from time to time; (iii) all know-how relating to its business including any copyrights, patents, designs, trade secrets, know-how, standard precedents, surveys, questionnaires, research, templates, methods or techniques used in connection with the business of RCS; (iv) any quality assurance systems, manuals or practices used in the business of RCS; (v) all other intellectual property used in connection with the business of RCS; (b) I acknowledge that I shall have no property or other rights or claims in or to any elements of the Intellectual Property. I undertake not to enter into any agreement with any third party to make or produce any Materials for the purposes of coaching others or delivering coach training. All such materials referred to in paragraphs a(i) and a(ii) shall be taken to be part of the Materials under this Deed. (c) I shall use the Intellectual Property solely in accordance with the written and oral procedures, instructions and guidelines notified by RCS to me (or as set out in the Materials) from time to time. I shall not use or authorize the use of the Intellectual Property for any other purpose except as may be agreed to by RCS in writing, nor shall I sell, license, loan, divulge, display or otherwise deal with the Intellectual Property except as specifically provided in this Agreement. (d) I will make copies of the Intellectual Property (or any other items provided to me by RCS in connection with this Agreement) solely for the purposes of my training in accordance with the written instructions of RCS but I shall not otherwise make or permit any other person to make any copies of any of the Intellectual Property. (e) I undertake to indemnify RCS against any loss or damage which RCS may sustain or incur as result of the breach by me or my employee, servant or agent of the undertakings in this paragraph. (f) I acknowledge that my obligations under this paragraph shall survive the expiration of this Deed and shall be enforceable by RCS at any time at law or in equity. 3. TRAINING (a) I acknowledge that the training sessions which I will be required to participate in may be personally challenging for me and that there may be occasions on which I could feel emotional challenges which could include frustration, annoyance or stress. (b) My Workplace Coaching Training is for a 2 month period. I acknowledge that my attendance at the training is a necessary aspect of being an effective Coach. I agree to make every effort to attend at the times and places set by the nominated Trainers and my operation as a Coach and any entitlements as a Coach pursuant to this Agreement is subject to and conditional upon me completing such training to the satisfaction of the nominated Trainers. I agree to the above terms and conditions
This page is for participants in a program that is due to commence and should be filled in between two weeks prior to a program commencing, up to the close of business on the day prior to commencement. It will take between 10 to 20 minutes to complete this form. Please complete all the following questions and read the terms and conditions below then press Submit this form at the bottom of the page. If you have any questions contact Matt Rule.
Please list your top three achievements (personal or professional) in the last year
Please write in a couple of sentences how a work colleague might describe you
Any other comments
PART 3: TERMS & CONDITIONS OF PARTICIPATING IN THIS PROGRAM
1. CONFIDENTIAL INFORMATION
(a) Any information in relation to the management or operation of the business of Results Coaching Systems Pty Ltd ("RCS") (including without limitation the intellectual property rights in the processes, techniques, presentations, methodologies, precedents and materials used in the training activities, as well as in its company name and corporate logo and any materials relating to the policies and procedures of coaching) which might be disclosed or made available to me before, during or after this Agreement ("Confidential Information") is and shall be the sole and exclusive property of RCS.
(b) I covenant and undertake that I shall keep confidential all Confidential Information and not disclose any Confidential Information to any person, except:
(i) as may be required by law;
(ii) with the prior written consent of RCS; or
(iii) to my agents, employees or professional advisers in accordance with my performance of my obligations in being trained as an RCS coach.
(c) I undertake to maintain proper and secure custody of all Confidential Information and use reasonable endeavors to prevent the use or disclosure of the Confidential Information by third parties (either by me or my employees, servants or agents) and to promptly notify RCS if I become aware of any breach of confidence by any person to whom I divulge all or any part of the Confidential Information and shall give RCS all necessary assistance in connection with claim which we may institute against such person for breach of confidence or otherwise.
(d) My obligations under this Clause shall survive the expiration of this Deed and shall be enforceable by RCS at any time at law or in equity.
2. INTELLECTUAL PROPERTY
(a) I acknowledge RCS as the sole owner of:
(i) the intellectual property rights in the processes, techniques, presentations, methodologies, precedents and materials used in the training activities, as well as in its company name and corporate logo and any materials relating to the policies and procedures of coaching (as modified from time to time);
(ii) any trade marks, business names, logos and graphic images (whether registered or unregistered) used in connection with its business or which may be as notified by RCS to me from time to time;
(iii) all know-how relating to its business including any copyrights, patents, designs, trade secrets, know-how, standard precedents, surveys, questionnaires, research, templates, methods or techniques used in connection with the business of RCS;
(iv) any quality assurance systems, manuals or practices used in the business of RCS;
(v) all other intellectual property used in connection with the business of RCS;
(b) I acknowledge that I shall have no property or other rights or claims in or to any elements of the Intellectual Property. I undertake not to enter into any agreement with any third party to make or produce any Materials for the purposes of coaching others or delivering coach training. All such materials referred to in paragraphs a(i) and a(ii) shall be taken to be part of the Materials under this Deed.
(c) I shall use the Intellectual Property solely in accordance with the written and oral procedures, instructions and guidelines notified by RCS to me (or as set out in the Materials) from time to time. I shall not use or authorize the use of the Intellectual Property for any other purpose except as may be agreed to by RCS in writing, nor shall I sell, license, loan, divulge, display or otherwise deal with the Intellectual Property except as specifically provided in this Agreement.
(d) I will make copies of the Intellectual Property (or any other items provided to me by RCS in connection with this Agreement) solely for the purposes of my training in accordance with the written instructions of RCS but I shall not otherwise make or permit any other person to make any copies of any of the Intellectual Property.
(e) I undertake to indemnify RCS against any loss or damage which RCS may sustain or incur as result of the breach by me or my employee, servant or agent of the undertakings in this paragraph.
(f) I acknowledge that my obligations under this paragraph shall survive the expiration of this Deed and shall be enforceable by RCS at any time at law or in equity.
3. TRAINING
(a) I acknowledge that the training sessions which I will be required to participate in may be personally challenging for me and that there may be occasions on which I could feel emotional challenges which could include frustration, annoyance or stress.
(b) My Workplace Coaching Training is for a 2 month period. I acknowledge that my attendance at the training is a necessary aspect of being an effective Coach. I agree to make every effort to attend at the times and places set by the nominated Trainers and my operation as a Coach and any entitlements as a Coach pursuant to this Agreement is subject to and conditional upon me completing such training to the satisfaction of the nominated Trainers.
I agree to the above terms and conditions
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