Lambeth Tennis Network The Licensing Registration and Development Scheme. Expression of Interest & Application Form
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1 Lambeth Tennis Network The Licensing Registration and Development Scheme Expression of Interest & Application Form 2014/2015 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 Part 1 Applicant Information 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: Postcode: Telephone: Mobile: Website: Assistant Coach details Assistant Coach Full Name: LTA Registration Number
4 Coaching Scheme Minimum Criteria Eligibility Please note: in order to ensure that you can demonstrate your eligibility for a Lambeth Tennis Network Licence agreement please make sure Section 2 is fully completed Any evidence that is submitted with this LTN Licence 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. Part 2 Qualification requirements LTN Licenced Coaches To register as an LTN Licence Coach you should currently hold as a minimum the LTA level 3 (DCA) Licenced Coach qualifications, or equivalent. This will ensure that you have a current DBS (CRB) certificate, First Aid and Child Protection awareness and Insurance. I wish to register as an LTN Licenced 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 DBS (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 Licenced 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 Licenced Assistant Coaches should as a minimum be LTA Registered and currently hold the Level 1 or 2 Assistant Coach qualification. 4
5 This will ensure that your Assistant Coaches have a valid CRB check, First Aid and Current insurance certificate. Do you wish to register LTN Licenced Assistant Coaches? Yes No If they are not registered please ensure that you provide: Copies of the relevant qualifications in accordance with the LTA Coach Education structure (or equivalent) A valid DBS (CRB) check Evidence of having attended First Aid and Child Protection courses; Current Insurance certificate. 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 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 Licenced Tennis coach you need to finalise any outstanding payment. No Thank-you, please go to the next section. Lambeth Tennis Network Coaching Classification Please select one of the options below to indicate which LTN Licence 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. 5
6 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 ticked, please go to Part 3. Option B Lambeth Tennis Network Non Programme Coach As a coach are predominantly interested in private coaching, Under LTN Licence 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 ticked, please go to Part 4 6
7 Part 3 Coaching History and Programme Coaching History Please indicate any prior coaching experiences and professional experience which will support your application: Coaching Experience Example: Coaching assistant Clapham Common Age Groups 7 to 50 years Period and Type of Employment 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 Licenced coach. Attachments can be added in Section 6. 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 holiday coaching clinics Local competitions or leagues Disability Tennis Junior 11+ sessions Adults group coaching sessions School sessions and competitions Other, Please specify Current and Desired Tennis Programme Programme Coaches only : Please indicate your current and desired Tennis delivery programmes in the table on page 8. This is the proposed programme 7
8 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. 8
9 Tennis Facility i.e. Clapham Common Current Programme or Desired Programme Current Programme Tennis Programme Title Mini Tennis Red Sessions Days Monday / Wednesdays Times 4.00pm to 5.00pm Start Date April 1st End Date July 31st Session Charge 2.00 per child Age Group Ages 8 and Under Additional Information 9
10 Part 4 Tennis Venues and Facilities Facility of intended use Please indicate the Tennis Venue that will be your Home* venue to coach from: Archbishops Brockwell Park Clapham Common Hillside Gardens Kennington Park Myatt s Field Park Ruskin Park Streatham Vale The Rookery 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 Brockwell Park Clapham Common Hillside Gardens Kennington Park Myatt s Field Park Ruskin Park Streatham Vale The Rookery 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 Part 5 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. Preferred contact number for clients to reach you on: 10
11 Please describe your Tennis experience, coaching style and any information that will help you promote your coaching services 11
12 Part 6 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 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 1: LTA Minimum licence (or equivalent) or registration qualifications 2: Qualifications and credentials (e.g. CRB & Insurance certificates) 3: 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:. 12
13 Lodging Application and Payment Options All applications need to be submitted in person, or posted to: Lambeth Cultural Commissioning FAO: Leisure Client Officer 7 th Floor, Blue Star House Stockwell Road London SW9 9SP or sports@lambeth.gov.uk Payment Options If eligible for an LTN Licence agreement, would you prefer to pay for your licence fee in? (please tick) One single payment Two payments (second payment in 6 months) 13
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