Lambeth Tennis Network
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1 Lambeth Tennis Network The Licensing Registration and Development Scheme Expression of Interest & Application Form 2012/2013 1
2 Please Note: Lambeth Council is collecting the information on this form (which includes personal details) for the purpose of administrating the Expression of Interest and Application Forms for the Lambeth Tennis Network licences. Please ensure you complete all relevant sections with care Please contain your answers to the application form within the space provided. 2
3 1.0 APPLICANT INFORMATION 1.1 Applicant details Please Note: This will be the authorised name the LTN license agreement will be made out to if eligible. Name of Applicant: Full Address: Post Code: Telephone: Mobile: Website: 1.2 Assistant Coach details Assistant Coach 1 Full Name: LTA Registration Number Assistant Coach 2 Full Name: LTA Registration Number Assistant Coach 3 Full Name: LTA Registration Number Assistant Coach 4 Full Name: LTA Registration Number Assistant Coach 5 Full Name: LTA Registration Number 3
4 2.0 COACHING SCHEME MINIMUM CRITERIA ELIGABILITY Please note: in order to ensure that you can demonstrate your eligibility for a Lambeth Tennis Network License agreement please make sure Section 2 is fully completed Any evidence that is submitted with this LTN License application will be retained by Lambeth Council All documentation must be valid and current (i.e. valid within three years of attainment) NOTE: Please do not send originals, please send copies only. 2.1 Qualification requirements LTN Licensed Coaches To register as an LTN License Coach you should currently hold as a minimum the LTA level 3 (DCA) Licensed Coach qualifications, or equivalent. This will ensure that you have a current CRB certificate, First Aid and Child Protection awareness and Insurance. I wish to register as an LTN Licensed coach and I can provide copies of the following; Please ensure that you provide: *** Copies of the relevant qualifications in accordance with the LTA Coach Education structure (or equivalent) *** A valid CRB check *** Evidence of having attended First Aid and Child Protection courses; *** Current Insurance certificate. Please note that if you cannot provide this evidence then you will need to obtain an LTA level 3 or equivalent as minimum criteria to becoming an LTN Licensed Coach LTN Assistant Coaches You will be required to show evidence that your Assistant or Assistants are qualified in accordance with the LTA coach Education structure. All coaches you wish to register as LTN Licensed Assistant Coaches should as a minimum be LTA Registered and currently hold the Level 1 or 2 Assistant Coach qualification. This will ensure that your Assistant Coaches have a valid CRB check, First Aid and Current insurance certificate. Do you wish to register LTN Licensed Assistant Coaches: Yes Please ensure that you provide if they are not registered: *** Copies of the relevant qualifications in accordance with the LTA Coach Education structure (or equivalent) *** A valid CRB check *** Evidence of having attended First Aid and Child Protection courses; *** Current Insurance certificate. No Should this change please ensure that you register the coach under the Licensing Agreement; that they hold the LTA Level 1 as a minimum; and submit the relevant documentation to the Lambeth Council Officer administering the Licensing scheme. Documentation Required - *** Please attach appropriate copies as indicated 4
5 2.2 Existing Financial debts Do you have, or aware of any outstanding debts with Tennis facilities within the London Borough of Lambeth or under any previous sports and recreation agreements with Lambeth Council Yes To be eligible as an LTN Licensed Tennis coach you need to finalise any outstanding payment. No Thank-you, please go to section Lambeth Tennis Network Coaching Classification Please select one of the options below to indicate which LTN License you wish to apply for: Option A. Lambeth Tennis Network Programme Coach As a coach you are predominantly interested in coaching LTA developmental programmes. You may be eligible for exemption of court charges for the delivery of these programmes. You will be charged a licensing fee of per annum You will pay the general Adult court rate. You agree to participate in the LTN voluntary programme (on average up to (2hrs per week). I wish to register as a Lambeth Tennis Network Programme Coach If Yes, please go to section 3 Option B. Lambeth Tennis Network Non Programme Coach As a coach are predominantly interested in private coaching, Under LTN License agreements you will commit to attending Lambeth Tennis Network Forums and supporting Tennis initiatives in the borough. You will be charged a licensing fee of per annum You will pay a Non Programme commercial court hire rate. Currently per court per hour (subject to review from 1 April 2012). You agree to voluntarily participate in collective LTN showcase events and Lambeth Tennis development initiatives throughout the year. I wish to register as a Lambeth Tennis Network Non Programme Coach If Yes, please go to section 4 5
6 3.0 COACHING HISTORY AND PROGRAMME 3.1 Coaching History Please indicate any prior coaching experiences and professional experience which will support your application: COACHING EXPERIENCE AGE GROUPS PERIOD AND TYPE OF EMPLOYMENT Example: Coaching assistant Clapham Common 7 to 50 years 4 years, Casual Employment NOTE: Coaches are welcome to add additional attachments of supporting documents (such as affiliations and alliances, referees or letters of support from prior experience / current professional relationships) that may demonstrate their eligibility to become an LTN Licensed coach. Attachments can be added in Section LTA/LTN Programme Interest Please indicate the Tennis programmes that you are interested in coaching throughout the year. Mini tennis red sessions Mini tennis orange sessions Mini tennis green sessions Junior 11+ sessions Junior holiday coaching clinics Adults group coaching sessions Local competitions or leagues School sessions and competitions Disability Tennis Other, Please specify 3.3 Current and Desired Tennis Programme Programme Coaches only : Please indicate your current and desired Tennis delivery programmes in the table 3.3 (next page). This is the proposed programme that you would be interested in coaching throughout the year. We appreciate that this programme may change. Changes throughout the session will need to be discussed the Lambeth Sport and Recreation Service Community Sports Manager. 6
7 Table 3.3 Tennis Facility Current Programme or Desired Programme Tennis Programme Title Days Times Start Date End Date Session Charge Age Group Additional Information ie: Clapham Common Current Programme Mini Tennis Red Sessions Monday / Wednesdays 4.00pm to 5.00pm April 1st July 31st 2.00 per child Ages 8 and Under 7
8 4.0 TENNIS VENUES AND FACILITIES 4.1 Facility of intended use Please indicate which Tennis Venue Which will be your Home* venue to coach from: Archbishops Myatt s Field Park Brockwell Park Ruskin Park Clapham Common Streatham Vale Hillside Gardens The Rookery Kennington Park Vauxhall Park *Home venues are the main courts that you wish to deliver your sessions from Please indicate which Tennis Facilities that will be your Away venues Archbishops Myatt s Field Park Brockwell Park Ruskin Park Clapham Common Streatham Vale Hillside Gardens The Rookery Kennington Park Vauxhall Park *Away venues are the other courts that you wish to deliver your sessions from Are you interested in accessing storage facilities at your Home venue if available? Yes No 5.0 PROMOTION AND MARKETING If you are an eligible coach you will have an identification poster to help market yourself at your home site and details at your away sites. Please indicate the following information. 1. Preferred contact number for clients to reach you on: 2. Please describe your Tennis experience, coaching style and any information that will help you promote your coaching services: 8
9 6.0 CHECK LIST AND DECLARATION Please ensure that you have completed all areas as indicated and have attached all the relevant documents as part of this application. Any application that is submitted without the correct documentation listed as mandatory requirements below will be automatically returned to the applicant. CHECK LIST Please ensure to include a copy of all the following with your application I have completed all mandatory areas as indicated I have attached the following documents to meet the minimum eligibility criteria Attachment 1: Attachment 2: Attachment 3: LTA Minimum license (or equivalent) or registration qualifications Qualifications and credentials (e.g. CRB & Insurance certificates) Additional support information APPLICATION DECLARATION I declare to the best of my knowledge that all the details supplied in this application form and in the attached documents are true and correct. By signing this document, I have agreed to the general conditions, terms, fees and charges of the Lambeth Tennis Network policies. Signature: Name: Date: / / LODGING APPLICATION AND PAYMENT OPTIONS LODGING APPLICATION FORM All applications need to be submitted in person, or posted to: Lambeth Sport and Recreation Unit FAO: Community Sports Manager 4 th Floor Blue Star House Stockwell Road London SW9 9SP OR [email protected] PAYMENT OPTIONS If eligible for an LTN License agreement, would you prefer to pay for your licence fee in? (Please tick) One single payment Split payments (6 monthly) 9
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