Lambeth Tennis Network The Licensing Registration and Development Scheme Expression of Interest & Application Form 2017/2018 1 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 1. 2. 3. 4. 2 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. 4 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. 5 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 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 8 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 8 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. 8 Tennis Facility Current Programme or Desired Programme EXAMPLE Current programme Clapham Common Tennis Programme Title Mini tennis red sessions 9 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 □ 10 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: 11 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: ………………………………. 12 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) 13
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