coaching scheme application form

Lambeth Tennis Network
The Licensing Registration and Development Scheme
Expression of Interest
&
Application Form
2017/2018
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Please note:
Lambeth Council is collecting the information on this form for the purpose of
administrating the Lambeth Tennis Network application process:

Please ensure you complete all relevant sections of the form

Please contain your responses within the space provided.
Part 1
Applicant Information
Personal details
Please note: This will be the authorised name on the LTN license agreement
Name of Applicant:
Full Address:
Postcode:
Telephone:
Mobile:
Email:
Website:
Assistant Coach full name:
LTA registration number
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4.
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Coaching Scheme Minimum Criteria Eligibility
In order to be considered for eligibility of the Lambeth Tennis Network
and for a licence agreement to be issued please make sure that
Section 2 is fully completed
Any information 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 send copies only. Do not send originals
Part 2
Qualification requirements
LTN Licenced Coaches
To register as an LTN Licenced Coach you must currently hold as a
minimum the LTA level 3 (DCA) Licenced Coach qualification or
equivalent.

This will ensure that you have a current DBS, first aid certificate, child
protection awareness training and valid insurance.
I wish to register as an LTN Licenced coach and I can provide copies of the
following:

Copies of the relevant qualifications in accordance with the LTA
Coach education structure (or equivalent)

A valid DBS check

Evidence of valid first aid and child protection training

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/s are
qualified in accordance with the LTA coach education structure

All registered LTN Licenced Assistant Coaches must as a minimum be
LTA registered and hold a Level 1 or 2 Assistant Coach qualification.
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This will ensure that Assistant Coaches have a valid DBS, first aAid and
insurance certificate.
Do you wish to register LTN Licenced Assistant Coaches?
Yes
□
No
□ If this changes please ensure that you register the Assistant
If the Assistant Coach is not registered please provide:
 Copies of the relevant qualifications in accordance with
the LTA coach education structure (or equivalent)
 A valid DBS check
 Evidence of having attended first Aid and child
protection training;
 Current insurance certificate.
Coach under the licensing agreement, that the Assistant
Coach holds the LTA Level 1 as a minimum and that you
submit the required documentation with this application.
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Documentation Required:
Please attach all required documentation
Existing financial debts
Do you have or are you aware of any outstanding debts with tennis facilities
within the London Borough of Lambeth or under any other sports and
recreation agreements with Lambeth Council?
Yes
□
No
□
To be eligible as an LTN Licenced tennis coach you
must pay all outstanding debts with tennis or other
sporting facilities in the borough
Thank you. Please go to the next section.
Lambeth Tennis Network coaching classification
Please select one of the options below indicating 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 £400.00 per annum
You will pay the general adult court rate
You will 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.
Please go to part 3.
Option B
Lambeth Tennis Network non programme coach

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

As a coach you 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 £100.00 per annum
You will pay a non programme commercial court hire rate. Currently
£10.00 per court per hour (subject to review).
You agree to voluntarily participate in collective LTN
showcase events and Lambeth Tennis development
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initiatives throughout the year.
I wish to register as a Lambeth Tennis Network non programme
coach.
Please go to part 4.
Part 3
Coaching history and programme
Coaching history
Please provide details of coaching and professional experience in support
of your application:
Coaching Experience
Age Groups
Example: Coaching assistant
Clapham Common
Example:
7 to 50 years
Period and
Type of
Example: 4
Employment
years, casual
Employment
Note: Coaches are welcome to attach additional supporting documents, such as
affiliations and alliances, referees or letters of support relating to prior experience or
professional relationships, in support of this application process.
Attachments can be added in Section 6.
LTA/LTN programme interest
Please indicate the tennis programmes that you are interested in:
Current and desired tennis programmes
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
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Programme coaches only:
Please indicate your current and desired tennis delivery programmes in the
table on page 9. 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.
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Tennis
Facility
Current
Programme or
Desired
Programme
EXAMPLE Current programme
Clapham
Common
Tennis
Programme
Title
Mini tennis red
sessions
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Start
Date
End
Date
Monday/
4.00 pm April 01
Wednesdays to
5.00 pm
July 31
Days
Times
Session
Charge
£2.00 per
child
Age
Group
Ages 8 and
under
Additional
Information
Part 4
Tennis venues and facilities
Facility of intended use
Please indicate the tennis venue that will be your Home*:
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 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
□
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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 provide the following information:
Preferred contact telephone number (for client contact):
Please describe your tennis experience, coaching style and provide any
other information that will help promote your coaching services:
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Part 6
Check list and declaration
Please ensure that you have completed all sections required and
that you have attached all the relevant documents. Any
application submitted without the required documentation may be
unduly delayed:
Check List
Please ensure that the following documents are included with your application:
□ I have attached the following documents which meet the minimum
eligibility criteria:
□ LTA minimum licence (or equivalent) or registration qualifications
□ Qualifications and credentials (e.g. DBS & Insurance certificates)
□ Additional supporting information
Application Declaration
I declare that to the best of my knowledge that all the details supplied in this
application and in the attached documents are true and correct.
I agree to the general conditions, terms, fees and charges of the Lambeth
Tennis Network:
Signature: ………………………………………………….
Name: ………………………………………………………
Date: ……………………………….
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Lodging application and payment Options
Please email your completed
application to:
Lesley Ambler
Commissioning Development Officer
email: [email protected]
Payment Options
If eligible for an LTN Licence agreement how would you prefer to pay your
licence fee in?
(please indicate):
□One single payment
□Two payments (second payment in 6 months)
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