NHS South West


Register as a coach

To register as a coach please complete the form below.

The register is open to any coach who wishes to offer their services and applications are considered on an individual basis. We welcome coaches at all stages of their practice, whether you're highly experienced or simply exploring coaching as a newly acquired skill.

Your registration form acts as your coaching profile and potential coachees will use this information when selecting a coach. This is therefore a great opportunity to promote your skills and the more comprehensive your profile the better.

Coaches who join the register must be willing to:

  • Enter into at least one active relationship each year and have the capacity to coach through the register
  • Commit to regular CPD and supervision (which is offered by the Academy)
  • Have an appropriate coaching qualification, and/or coaching experience, or be a coach in training
  • Provide evaluative feedback as part of the coaching or mentoring process and seek feedback from coachees and mentees for on-going CPD purposes
  • Maintain your profile regularly, which includes updating your availability, responding to requests and logging activity

To move between sections, click 'Next' or the required tab. When you have completed all sections, please click 'Submit my application now'.

nb. please do not use your browser's 'Back' and 'Forward' buttons, otherwise you may lose information that you have entered.

About you

Please tell us some details about yourself.

* denotes a required field

First name *
Last name *
E-mail address *
Organisation *
Organisation region *
Job title *
Telephone number *
Alternative telephone number
Work type *

Coach details

Please provide the following details specifically with regard to your eligibility to register as a coach and to your coach profile.

* denotes a required field

Please provide detailed information regarding your formal coaching qualification or equivalent coaching experience *
I would describe myself as a coach who: *
I have experience in and am willing to work with someone to help them *
I am willing to enter into a coaching relationship that is *
I am willing to work within the following geographical area *
I would prefer my coaching to take place via *
Interests in coaching *
Please write a brief description of your approach to coaching
Coaching experience *
Please indicate your level of coaching experience and any previous experience of coaching you may have had along with any other information which would be useful to a potential coachee
Are you a trained coaching supervisor? *
Are you a Healthcare Leadership Model (HLM) 360 feedback facilitator? *
Number of coaching relationships I am willing to have at any one time *
Supporting document
e.g. biography, record of contractual agreement – optional (Word, Excel or PDF files accepted)

Coachee details

If you do not wish to register as a coachee, please click 'Next'.

Diversity & Inclusion

The following questions are for D&I monitoring purposes only, and the information provided will not be made available to other users:

* denotes a required field

Your gender *
Your age group *
How would you describe your ethnic origin? *
Your religion or belief *
Please select the option which best describes your sexuality *
Do you consider yourself to be a disabled person as defined by the Equality Act 2010*
If you consider yourself to be a disabled person, and would like to, please indicate the nature of your disability (tick as many as are applicable)
Other disability - please specify

Coaching agreement


CRBhub Coaching Hub is based on the CRBhub management system from CRB Associates