This form should be signed by a Director.
All fields on this form are mandatory unless otherwise stated
The organisation acknowledges that my signature on this Declaration of Integrity attests that they understand and certify that the following statements are true and correct.
I confirm that this application is for
---a Franchisea Master Distributora Licensee,
and that I have a valid commercial agreement from .
This Declaration of Integrity is for the accreditation of
---a single coaching course/workshopa single mentoring course/workshopa single coaching and mentoring course/workshopmultiple coaching courses/workshopsmultiple mentoring courses/workshopsmultiple combination coaching and mentoring courses/workshops.
I pledge that the list below comprise the complete list of courses and workshops included in the IIC&M Accreditation.
For the following two statements, the first statement is for those organisations who are applying for or upgrading their Training Organisation accreditation, and the second statement is for those organisations who are applying for specific coach or/and mentor training course/workshop accreditation. Please select the relevant statement.
I pledge that
---as a Training Organisation we run no other coach and/or mentor specific training courses/workshops.we will not represent any other courses/workshops as accredited by the IIC&M.
I pledge that
---as a Training Organisation we will not include any additional courses/workshop before they have been awarded their accreditation.we will provide clarity over which courses/workshop are and are not accredited by the IIC&M.
I pledge that where we are permitted, we will only appoint a new Franchise, Distributor, Licensee as part of this IIC&M accreditation, once their faculty are accredited at the right level and we have submitted an updated Statement of Information.
Please list all your training courses.
Please enter 'none' if you do not run training courses.
Please list all your workshops.
Please enter 'none' if you do not run workshops.
I pledge that the information provided in each Course or Workshops Information Statement, the detail, the material, and the evidence of our training course or workshop, which we have submitted to gain Accreditation by the IIC&M, is honest and genuine.
I pledge that the full faculty of the Course Creator(s), Lead Trainer(s), Trainer(s), Mentor(s) (as required), Skills Assessment Coaches/Mentors (as required) and Support Coaches/Mentors are an Accredited Member with their current IIC&M accreditation/annual fees paid up-to-date; and that the Director of Training, and Course Managers membership is current with their fees paid up-to-date.
I pledge that I will notify the IIC&M immediately by submitting a new Course or Workshops Information Statement where a change is applied to the training information or a new member joins the faculty. I pledge that no member will join the faculty before they have gained the appropriate Accredited Member status.
I pledge that
---no new courses or workshops will be released by our organisation before the course or workshop has gained its IIC&M Accreditation Award.no new courses or workshops will be represented as IIC&M accredited if we have not been awarded the accreditation.
The first statement is relevant to those organisations who are applying for or upgrading their Training Organisation accreditation, and the second statement is relevant to those organisations who are applying for specific coach or/and mentor training course/workshop accreditation. Please select the relevant statement.
We undertake to comply with the IIC&M’s
---Coaching Core CompetenciesMentoring Core CompetenciesCoaching and Mentoring Core Competencies
---Coaching Standards and EthicsMentoring Standards and EthicsCoaching and Mentoring Standards and Ethics
and Differences Between Coaching and Mentoring; and to honour the obligations it places upon the organisation to act with integrity in all their dealings with the IIC&M, the
---CoachingMentoringCoaching and Mentoring
community, students, clients, and the general public.
I confirm that should we make a change to the courses and/or workshops, a faculty member’s IIC&M Accredited Membership expires, or a new faculty member joins the faculty without gaining their IIC&M Accredited Membership, or release a new course or workshop that has not been accredited by the IIC&M; that the IIC&M may withdraw our Training Organisation, Course, and/or Workshop accreditation status until this position has been rectified.
If as an organisation running IIC&M accredited training, we are found not to meet our obligations, we agree that the IIC&M in its sole discretion may hold the organisation accountable for their conduct, and that non-compliance may result in loss of Training Organisation Accreditation and a loss of their accreditation with and membership of the IIC&M. The process to rectify this is defined in the IIC&M's Complaints Process.
We confirm that there are no adverse legal actions taken or pending against the organisation.
We confirm that accreditation with the IIC&M, once granted, remains with the organisation for the length of the organisation’s membership with the IIC&M. The organisation agrees to annually submit to the IIC&M their Annual Declaration of Integrity, Course or Workshop Information Statement, and to submit to the IIC&M, at given periods, updated copies of the training material to demonstrate their continuing professional experience and development.
We confirm that the Testimonials provided by the students as part of the Annual Renewals application, releases the students from their confidentiality agreement with the organisation, whether explicit or implied, but only for the purpose of validating the training course/workshop.
We accept that the IIC&M will maintain full confidentiality when verifying the training course/workshop material, during the accreditation process.
We accept that in line with the Coaching and Mentoring Industries, the IIC&M may change or modify the requirements for Accreditation at any time. In line with these changes, we accept that the IIC&M will honour the accreditation awarded and will not impact this with any changes made.
We confirm that the Accreditation Application and Examination Fee is non-refundable and that the organisation will not be represented as an Accredited Training Organisation until the IIC&M has received the fee and has completed the accreditation process for each course and/or workshop listed above. This fee
---has been paid through PayPal.will be paid through PayPal on receipt of a PayPal invoice.has been paid through bank transfer.will be paid through bank transfer.
We acknowledge that my electronic signature on this Declaration of Integrity attests that we understand and certify that these statements are true and correct.
Address including Zip/Post Code:
Enquiries email address:
Skype id (optional):
---have uploadedwill email
our logo for use in the IIC&M's Directory.