Cambridgeshire Cricket Coach Education Programme & Application ...
Cambridgeshire Cricket Coach Education Programme & Application Form From Playground to Test Arena
Play your part
ecb.co.uk/coaching
Introduction Thank you for deciding to enrol on an ECB Coach Education course. Maintaining a strong, vibrant grassroots structure is vital to the future of cricket and the development and retention of players at all levels of the game. Coaches, support workers and activators all play a role in creating an environment that ensures players are enthused, inspired, motivated and are able to develop as cricketers, in line with their aspirations and potential. This Coach Education Programme and Application Form will provide you with details of all the Community Coach Education courses running across your county, along with details of how to sign up and book your place. For those people taking a UKCC Level 2 qualification or above, there is also an application form that enables you to join ECB Coaches Association and access exclusive member benefits that will help inspire your players and maximise their performance. Should you require any additional information, please go to ecb.co.uk/coaching or get in touch with a representative from the County Cricket Board. Page 1
ECB Community Coach Education Programme County contact details: Name Graham Whiting
Address c/o The Cambs FA, Bridge Road, Impington, Cambridge, Cambs, CB24 3AP
Phone 01223:232371
Email
[email protected]
Course details: Course
Dates
Venue
Cost
UECB COACH SUPPORT WORKER COURSE (Event 1)
£ CAMBRIDGE, CB1 3TD £ BIRDWOOD Sunday 17 April 2016 (10.00am to 4.00pm) St BEDE'S INTER-CHURCH SCHOOL, 50.00 ROAD, £
UECB COACH SUPPORT WORKER COURSE (Event 2)
*Special rate
£
£ CAMBRIDGE, CB1 3TD £ BIRDWOOD Sunday 24 April 2016 (10.00am to 4.00pm) St BEDE'S INTER-CHURCH SCHOOL, 50.00 ROAD, £
£
£
£
£
£
£
£
£
£
£
£
*Comment on special rates/discounts here PLEASE MAKE CHEQUES PAYABLE TO ECBCA-CAMBS (not Cambridgeshire Cricket Board).
Page 2
Why join the ECB Coaches Association
nce qualified would you like to be kept up to date with all the O latest thinking and developments?
Would you like the opportunity to attend seminars and workshops that will help you develop your coaching? Are you looking for that essential piece of equipment that could revolutionise your practices and make the winning difference? How about being able to wear the ECB CA three lions clothing range, which is only available to ECB CA members? Do you want to be able to talk to people that share your passion for cricket coaching? Are you keen to ensure that players get the most enjoyment out of the cricket? Maybe, you’re looking for the peace of mind that comes from knowing you have comprehensive insurance and legal support, should you ever need it? Page 3
About the ECB CA As an ECB Level 2 (equivalent or above) coach, you have the opportunity to become a member of the ECB Coaches Association. The purpose of the ECB CA is to inspire participation and maximise performance of cricket coaches and players. It’s run by cricket coaches and volunteers up and down the country to ensure all coaches, at all levels of the game, right from the England team downwards, have somewhere to turn, to get the on-going support all coaches need, in order to be the best they can be.
Page 4
Helping you help your players ECB Coaches Association offers a range of services and products which will help you and your players develop, whilst allowing you to coach with confidence and peace of mind. Although not compulsory, we strongly recommend that all candidates apply and access the benefits that membership brings. So why not join today at the same time as you enrol onto your course and be part of a community of cricket coaches that will support you throughout your coaching life.
We have thousands of members, from the freshest qualifying coaches after their first course, right up to the England head coaches! So why not join us?
Page 5
Join today and access exclusive member benefits… Wings to Fly DVD Series
Coaches Matter Technical Bulletins
Hitting the Seam Magazine
(Produced annually)
(Produced biannually)
(Produced biannually)
Your access to the latest thinking from top coaches and players round the world at all levels of the game.
Technical information can often be difficult to understand. Coaches Matter bulletins provide easily interpreted technical information and practices for coaches to share with their players:
Ever wondered what is happening elsewhere in the country? Want fresh ideas from other community coaches? Want to find out what the top coaches are thinking and doing?
Access practical ideas to apply to your everyday coaching. Challenge your thinking and practice whilst observing other coaches and their approach. Gain a unique, behind the scenes insight into the leading top coaches and players in the world. Never be short of ideas and ways of delivering really interesting and enjoyable coaching sessions. This DVD series is only available to members and provides you with: The ability to share with players either on a lap top or projected onto a big screen for group viewing.
Hitting the Seam provides you with the following information: CA inspire CA inspire will bring direct to your inbox a series of regular, bite-sized programmes designed to help you support your players on the ground.
Practical ideas and practices for you to use. Community and elite coaching news updates. ECB CA Support Centre and membership updates.
Pick it up on your laptop, tablet and smartphone.
Easily digestable chapters for simplicity of use. Up to date coaching methods and styles presented by top coaches and players.
Page 6
Helping you to help your players Coaching Insight (Produced annually) Do you like to read something that provokes thought, prompts discussion and inspires you to continually improve? The ECB CA yearbook provides the following information: Cricket reports from the ECB. Technical bulletin round ups. Thought provoking articles on coaching from all levels of the game. Licensed Clothing and Specialist Equipment Shop – Wear the 3 lions with pride! The shop provides you with a one-stopshop, offering the tools to help make your coaching sessions fun, exciting and challenging. This is the only place where you can purchase ECB CA licensed apparel and equipment.
Apply for Membership of the ECB CA today! The cost of becoming an ECB CA Member is only £30 by direct debit or £37 by cheque per annum. It’s your association! So why not join the family of cricket coaches today.
Local CA County Support Every County has a vibrant network of like-minded coaches who can provide you with support and ideas. Spend time talking and learning with other coaches within your county. Your local CA keeps you up to date with regular communications and a calendar of local events. Insurance – Peace of mind while you coach Purchasing personal insurance can be very expensive and tiresome. The CA provides you with Insurance and enables you to concentrate on developing your new skills. Public Liability – The members’ legal liability for injury to third parties and/or damage to third party property £5,000,000 - limit of indemnity. Employer’s Liability – The members legal liability for injury to helpers in coaching sessions - £10,000,000 - limit of indemnity. Personal Accident – A range of benefits from Accidental Death at £20,000 to cost of repair of spectacles or dentures - £300.
National Conference (Held bi-annually) Come and spend some time with top coaches and players from around the globe delivering practical and theory sessions. Great opportunity to mix with friends and other CA members from around the globe and share best practice whilst learning from some of the greats of the game. A residential conference that includes: Conference pack. Conference dinner, with the presentation of the Annual Coach of the Year Awards. 4 Star accommodation.
Legal Expenses – Recently introduced to provide additional protection for the members in respect of various, potential, legal actions. Legal and Tax Helpline – Advice on any legal/tax matter 24 hours a day 365 days a year.
Page 7
Course and Coaches Association application form
Please complete the course application form to register your interest in our course(s), and both forms to join the ECB Coaches Association at the same time. Title:
First Name:
Initial(s):
Date of Birth:
Surname:
Postcode:
Address: Daytime:
Phone (Home):
Mobile:
Email (must include):
Emergency name & no:
ULN (if applicable): Gender:
Occupation: Ethnic Group:
White
Asian or Asian British
Other Ethnic Group
Mixed
Black or Black British
I prefer not to answer this question
If you have any form of disability, special needs or medical conditions please provide details: Do you hold a current First Aid qualification?
Yes
No
Have you attended a Safeguarding & Protecting Children (SPC) or Safeguarding Young Cricketers (SYC) course in the last three years? Please enclose a copy of your First Aid & SPC certificate
Yes
No
If you have a current ECB CRB/DBS check (less than 3 years old) when does it expire? If you are an ECB CA member what is your membership no? (if not you can apply on the following pages) Do you intend to coach in any of these environments? (please select all that apply)
SECONDARY SCHOOL
PRIMARY SCHOOL
DISTRICT
COUNTY
Other
Which Cricket Club(s) do you coach at? (if more than one, please state all that apply)
Page 8
Application Form Continued… What age(s) of players do you intend to coach? (please select all that apply)
CHILD (up to 13 years)
YOUNG PERSON (13 - 18) ADULT (Over 18 years)
Please provide details of your coaching/teaching experience:
ECB Certificate candidates only – please provide details of your planned supported practice:
Provide the name and email of your Supported Practice Support Coach: Please state the course that you are planning to attend / wish to apply for below: Course UECB COACH SUPPORT WORKER COURSE (Event 1)
UECB COACH SUPPORT WORKER COURSE (Event 2)
Dates Sunday 17 April 2016 (10.00am to 4.00pm) Sunday 24 April 2016 (10.00am to 4.00pm)
This is a one-day course and you do not need to come to both events. Please indicate If you are available on both dates and, if so, which is your first choice. PLEASE MAKE CHEQUES PAYABLE TO ECBCA-CAMBS (not Cambridgeshire Cricket Board).
Venue St BEDE'S INTER-CHURCH SCHOOL, BIRDWOOD ROAD, CAMBRIDGE, CB1 3TD St BEDE'S INTER-CHURCH SCHOOL, BIRDWOOD ROAD, CAMBRIDGE, CB1 3TD
Cost £ 50 £ 50 £ £ £
I confirm that I am available for ALL of the dates for the course(s) and have enclosed payment of
£ (tick box)
I understand that once a place is booked the course fee is non-refundable Please enter full name for confirmation:
Date:
(tick box)
Club Youth Co-ordinator (if applicable) to enter full name:
Date:
(tick box)
Page 9
Application Form Continued…
You will be affiliated to the County Board Coaches Association where you live unless you state otherwise below.
To be an ECB CA member, you need to have a UKCC Level 2 coaching qualification and valid ECB CRB/DBS check
(tick box)
I have read http://www.ecb.co.uk/development/ecb-coaches-association/ecb-code-of-conduct and agree to abide by the principles and content of the ECB Coaches Code of Conduct:
(tick box)
Please enter full name for confirmation:
Date:
Signature:
Joining the ECB Coaches Association All prospective ECB CA members need to hold a Coaching Qualification and valid ECB CRB/DBS check CA membership is not available to Coach Support Workers or Cricket Activators ECB CA annual membership is £30 by direct debit (see form attached) or £37 by cheque I wish to join the ECB CA
(tick box)
I have read http://www.ecb.co.uk/development/ecb-coaches-association/ecb-code-of-conduct, and agree to abide by the (tick box) principles and content of the ECB Coaches Code of Conduct: You will be affiliated to the County Board where you live unless you have stated otherwise All applications received after 30 September in any given year will be covered until 31 December of the following year.
Page 10
ECB CA Annual Membership Instruction to your Bank or Building Society to pay by Direct Debit Please fill in the whole form using a ball point pen and send to:
Service user number
4
ECB Coaches Association, England and Wales Cricket Board Ltd Warwickshire County Cricket Ground, Edgbaston, Birmingham B5 7QX Name and full postal address of your Bank or Building Society To: The Manager
1
0
4
9
7
Reference
Bank/Building Society
Address FOR England and Wales Cricket Board Ltd OFFICIAL USE ONLY. This is not part of the instruction to your bank or building society. Please note: This does not cover your course fees. Applications received after 30 September in any given year will be covered until 31 December of the following year.
Postcode
Name(s) of account holder(s)
Bank/building society account number
Instruction to your Bank or Building Society Please pay England and Wales Cricket Board Ltd. Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with England and Wales Cricket Board Ltd. and, if so, details will be passed electronically to my bank/building society. Signature(s)
Branch sort code Date
Banks and building societies may not accept Direct Debit Instructions for some types of account.
This Guarantee should be detached and retained by the payer.
The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit England and Wales Cricket Board Ltd will notify you 28 working days in advance of your account being debited or as otherwise agreed. If you request England and Wales Cricket Board Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit, by England and Wales Cricket Board Ltd or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. — If you receive a refund you are not entitled to, you must pay it back when England and Wales Cricket Board Ltd asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
DD17
ECB Data Protection Policy Statement The England and Wales Cricket Board Limited (ECB) will use the information provided on this form together with other information held about you including your education and history as a cricket coach, official and/or as a member of the cricketing community (together Information) to: Administer your attendance and completion of courses, workshops and other training events. Verify your qualifications and qualification criteria. Administer membership of the ECB Coaches Association including keeping your affiliated County Board informed of your membership status. The ECB will hold your Information in a database which may be searched by County Boards and County Coaches Associations each of which may use it to: Verify your qualifications and qualification criteria Administer your attendance and completion of courses The ECB may wish to contact you regarding future opportunities, including those of ECB commercial partners (a full list is available on www.ecb.co.uk) in which you may be interested.
Checklist Have you: Indicated the courses you wish to attend? Arranged for the correct fee payable to your County Board? Enclosed a copy of your First Aid certificate if you have one? Enclosed a copy of your sports coach UK Safeguarding & Protecting Children certificate if you have one? Included details of your planned supported practice schedule? If proceeding with ECB CA membership have you: Completed the ECB CA membership application details? Completed the Direct Debit mandate for £30 per annum to the ECB CA, or chosen to pay by separate cheque for £37 to the ECB CA? Please forward all completed documentation to your County Board.
Consent: By submitting this form, you understand that you are consenting to receive information from the ECB by post, phone, email or SMS. Should you not wish to receive information about these opportunities, please tick this box: Your affiliated County Board/Coaches Association may wish to contact you regarding future cricket-related opportunities including courses, seminars and workshops. Consent: By submitting this form, you understand that you are consenting to receive information from your affiliated County Board/Coaches Association as described above by post, phone, email or SMS. Should you not wish to receive information about these opportunities, please tick this box: You are entitled to a copy of the information held about you for which a fee may be charged. Details of how to do this will be provided by your County Board/Coaches Association on request.
Submit your application Please send hard copies of signed application forms, direct debit form, certificates and cheque to your local County Cricket Board.
91800
Page 12
Play your part
ecb.co.uk/coaching
Introduction Thank you for deciding to enrol on an ECB Coach Education course. Maintaining a strong, vibrant grassroots structure is vital to the future of cricket and the development and retention of players at all levels of the game. Coaches, support workers and activators all play a role in creating an environment that ensures players are enthused, inspired, motivated and are able to develop as cricketers, in line with their aspirations and potential. This Coach Education Programme and Application Form will provide you with details of all the Community Coach Education courses running across your county, along with details of how to sign up and book your place. For those people taking a UKCC Level 2 qualification or above, there is also an application form that enables you to join ECB Coaches Association and access exclusive member benefits that will help inspire your players and maximise their performance. Should you require any additional information, please go to ecb.co.uk/coaching or get in touch with a representative from the County Cricket Board. Page 1
ECB Community Coach Education Programme County contact details: Name Graham Whiting
Address c/o The Cambs FA, Bridge Road, Impington, Cambridge, Cambs, CB24 3AP
Phone 01223:232371
[email protected]
Course details: Course
Dates
Venue
Cost
UECB COACH SUPPORT WORKER COURSE (Event 1)
£ CAMBRIDGE, CB1 3TD £ BIRDWOOD Sunday 17 April 2016 (10.00am to 4.00pm) St BEDE'S INTER-CHURCH SCHOOL, 50.00 ROAD, £
UECB COACH SUPPORT WORKER COURSE (Event 2)
*Special rate
£
£ CAMBRIDGE, CB1 3TD £ BIRDWOOD Sunday 24 April 2016 (10.00am to 4.00pm) St BEDE'S INTER-CHURCH SCHOOL, 50.00 ROAD, £
£
£
£
£
£
£
£
£
£
£
£
*Comment on special rates/discounts here PLEASE MAKE CHEQUES PAYABLE TO ECBCA-CAMBS (not Cambridgeshire Cricket Board).
Page 2
Why join the ECB Coaches Association
nce qualified would you like to be kept up to date with all the O latest thinking and developments?
Would you like the opportunity to attend seminars and workshops that will help you develop your coaching? Are you looking for that essential piece of equipment that could revolutionise your practices and make the winning difference? How about being able to wear the ECB CA three lions clothing range, which is only available to ECB CA members? Do you want to be able to talk to people that share your passion for cricket coaching? Are you keen to ensure that players get the most enjoyment out of the cricket? Maybe, you’re looking for the peace of mind that comes from knowing you have comprehensive insurance and legal support, should you ever need it? Page 3
About the ECB CA As an ECB Level 2 (equivalent or above) coach, you have the opportunity to become a member of the ECB Coaches Association. The purpose of the ECB CA is to inspire participation and maximise performance of cricket coaches and players. It’s run by cricket coaches and volunteers up and down the country to ensure all coaches, at all levels of the game, right from the England team downwards, have somewhere to turn, to get the on-going support all coaches need, in order to be the best they can be.
Page 4
Helping you help your players ECB Coaches Association offers a range of services and products which will help you and your players develop, whilst allowing you to coach with confidence and peace of mind. Although not compulsory, we strongly recommend that all candidates apply and access the benefits that membership brings. So why not join today at the same time as you enrol onto your course and be part of a community of cricket coaches that will support you throughout your coaching life.
We have thousands of members, from the freshest qualifying coaches after their first course, right up to the England head coaches! So why not join us?
Page 5
Join today and access exclusive member benefits… Wings to Fly DVD Series
Coaches Matter Technical Bulletins
Hitting the Seam Magazine
(Produced annually)
(Produced biannually)
(Produced biannually)
Your access to the latest thinking from top coaches and players round the world at all levels of the game.
Technical information can often be difficult to understand. Coaches Matter bulletins provide easily interpreted technical information and practices for coaches to share with their players:
Ever wondered what is happening elsewhere in the country? Want fresh ideas from other community coaches? Want to find out what the top coaches are thinking and doing?
Access practical ideas to apply to your everyday coaching. Challenge your thinking and practice whilst observing other coaches and their approach. Gain a unique, behind the scenes insight into the leading top coaches and players in the world. Never be short of ideas and ways of delivering really interesting and enjoyable coaching sessions. This DVD series is only available to members and provides you with: The ability to share with players either on a lap top or projected onto a big screen for group viewing.
Hitting the Seam provides you with the following information: CA inspire CA inspire will bring direct to your inbox a series of regular, bite-sized programmes designed to help you support your players on the ground.
Practical ideas and practices for you to use. Community and elite coaching news updates. ECB CA Support Centre and membership updates.
Pick it up on your laptop, tablet and smartphone.
Easily digestable chapters for simplicity of use. Up to date coaching methods and styles presented by top coaches and players.
Page 6
Helping you to help your players Coaching Insight (Produced annually) Do you like to read something that provokes thought, prompts discussion and inspires you to continually improve? The ECB CA yearbook provides the following information: Cricket reports from the ECB. Technical bulletin round ups. Thought provoking articles on coaching from all levels of the game. Licensed Clothing and Specialist Equipment Shop – Wear the 3 lions with pride! The shop provides you with a one-stopshop, offering the tools to help make your coaching sessions fun, exciting and challenging. This is the only place where you can purchase ECB CA licensed apparel and equipment.
Apply for Membership of the ECB CA today! The cost of becoming an ECB CA Member is only £30 by direct debit or £37 by cheque per annum. It’s your association! So why not join the family of cricket coaches today.
Local CA County Support Every County has a vibrant network of like-minded coaches who can provide you with support and ideas. Spend time talking and learning with other coaches within your county. Your local CA keeps you up to date with regular communications and a calendar of local events. Insurance – Peace of mind while you coach Purchasing personal insurance can be very expensive and tiresome. The CA provides you with Insurance and enables you to concentrate on developing your new skills. Public Liability – The members’ legal liability for injury to third parties and/or damage to third party property £5,000,000 - limit of indemnity. Employer’s Liability – The members legal liability for injury to helpers in coaching sessions - £10,000,000 - limit of indemnity. Personal Accident – A range of benefits from Accidental Death at £20,000 to cost of repair of spectacles or dentures - £300.
National Conference (Held bi-annually) Come and spend some time with top coaches and players from around the globe delivering practical and theory sessions. Great opportunity to mix with friends and other CA members from around the globe and share best practice whilst learning from some of the greats of the game. A residential conference that includes: Conference pack. Conference dinner, with the presentation of the Annual Coach of the Year Awards. 4 Star accommodation.
Legal Expenses – Recently introduced to provide additional protection for the members in respect of various, potential, legal actions. Legal and Tax Helpline – Advice on any legal/tax matter 24 hours a day 365 days a year.
Page 7
Course and Coaches Association application form
Please complete the course application form to register your interest in our course(s), and both forms to join the ECB Coaches Association at the same time. Title:
First Name:
Initial(s):
Date of Birth:
Surname:
Postcode:
Address: Daytime:
Phone (Home):
Mobile:
Email (must include):
Emergency name & no:
ULN (if applicable): Gender:
Occupation: Ethnic Group:
White
Asian or Asian British
Other Ethnic Group
Mixed
Black or Black British
I prefer not to answer this question
If you have any form of disability, special needs or medical conditions please provide details: Do you hold a current First Aid qualification?
Yes
No
Have you attended a Safeguarding & Protecting Children (SPC) or Safeguarding Young Cricketers (SYC) course in the last three years? Please enclose a copy of your First Aid & SPC certificate
Yes
No
If you have a current ECB CRB/DBS check (less than 3 years old) when does it expire? If you are an ECB CA member what is your membership no? (if not you can apply on the following pages) Do you intend to coach in any of these environments? (please select all that apply)
SECONDARY SCHOOL
PRIMARY SCHOOL
DISTRICT
COUNTY
Other
Which Cricket Club(s) do you coach at? (if more than one, please state all that apply)
Page 8
Application Form Continued… What age(s) of players do you intend to coach? (please select all that apply)
CHILD (up to 13 years)
YOUNG PERSON (13 - 18) ADULT (Over 18 years)
Please provide details of your coaching/teaching experience:
ECB Certificate candidates only – please provide details of your planned supported practice:
Provide the name and email of your Supported Practice Support Coach: Please state the course that you are planning to attend / wish to apply for below: Course UECB COACH SUPPORT WORKER COURSE (Event 1)
UECB COACH SUPPORT WORKER COURSE (Event 2)
Dates Sunday 17 April 2016 (10.00am to 4.00pm) Sunday 24 April 2016 (10.00am to 4.00pm)
This is a one-day course and you do not need to come to both events. Please indicate If you are available on both dates and, if so, which is your first choice. PLEASE MAKE CHEQUES PAYABLE TO ECBCA-CAMBS (not Cambridgeshire Cricket Board).
Venue St BEDE'S INTER-CHURCH SCHOOL, BIRDWOOD ROAD, CAMBRIDGE, CB1 3TD St BEDE'S INTER-CHURCH SCHOOL, BIRDWOOD ROAD, CAMBRIDGE, CB1 3TD
Cost £ 50 £ 50 £ £ £
I confirm that I am available for ALL of the dates for the course(s) and have enclosed payment of
£ (tick box)
I understand that once a place is booked the course fee is non-refundable Please enter full name for confirmation:
Date:
(tick box)
Club Youth Co-ordinator (if applicable) to enter full name:
Date:
(tick box)
Page 9
Application Form Continued…
You will be affiliated to the County Board Coaches Association where you live unless you state otherwise below.
To be an ECB CA member, you need to have a UKCC Level 2 coaching qualification and valid ECB CRB/DBS check
(tick box)
I have read http://www.ecb.co.uk/development/ecb-coaches-association/ecb-code-of-conduct and agree to abide by the principles and content of the ECB Coaches Code of Conduct:
(tick box)
Please enter full name for confirmation:
Date:
Signature:
Joining the ECB Coaches Association All prospective ECB CA members need to hold a Coaching Qualification and valid ECB CRB/DBS check CA membership is not available to Coach Support Workers or Cricket Activators ECB CA annual membership is £30 by direct debit (see form attached) or £37 by cheque I wish to join the ECB CA
(tick box)
I have read http://www.ecb.co.uk/development/ecb-coaches-association/ecb-code-of-conduct, and agree to abide by the (tick box) principles and content of the ECB Coaches Code of Conduct: You will be affiliated to the County Board where you live unless you have stated otherwise All applications received after 30 September in any given year will be covered until 31 December of the following year.
Page 10
ECB CA Annual Membership Instruction to your Bank or Building Society to pay by Direct Debit Please fill in the whole form using a ball point pen and send to:
Service user number
4
ECB Coaches Association, England and Wales Cricket Board Ltd Warwickshire County Cricket Ground, Edgbaston, Birmingham B5 7QX Name and full postal address of your Bank or Building Society To: The Manager
1
0
4
9
7
Reference
Bank/Building Society
Address FOR England and Wales Cricket Board Ltd OFFICIAL USE ONLY. This is not part of the instruction to your bank or building society. Please note: This does not cover your course fees. Applications received after 30 September in any given year will be covered until 31 December of the following year.
Postcode
Name(s) of account holder(s)
Bank/building society account number
Instruction to your Bank or Building Society Please pay England and Wales Cricket Board Ltd. Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with England and Wales Cricket Board Ltd. and, if so, details will be passed electronically to my bank/building society. Signature(s)
Branch sort code Date
Banks and building societies may not accept Direct Debit Instructions for some types of account.
This Guarantee should be detached and retained by the payer.
The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit England and Wales Cricket Board Ltd will notify you 28 working days in advance of your account being debited or as otherwise agreed. If you request England and Wales Cricket Board Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit, by England and Wales Cricket Board Ltd or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. — If you receive a refund you are not entitled to, you must pay it back when England and Wales Cricket Board Ltd asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
DD17
ECB Data Protection Policy Statement The England and Wales Cricket Board Limited (ECB) will use the information provided on this form together with other information held about you including your education and history as a cricket coach, official and/or as a member of the cricketing community (together Information) to: Administer your attendance and completion of courses, workshops and other training events. Verify your qualifications and qualification criteria. Administer membership of the ECB Coaches Association including keeping your affiliated County Board informed of your membership status. The ECB will hold your Information in a database which may be searched by County Boards and County Coaches Associations each of which may use it to: Verify your qualifications and qualification criteria Administer your attendance and completion of courses The ECB may wish to contact you regarding future opportunities, including those of ECB commercial partners (a full list is available on www.ecb.co.uk) in which you may be interested.
Checklist Have you: Indicated the courses you wish to attend? Arranged for the correct fee payable to your County Board? Enclosed a copy of your First Aid certificate if you have one? Enclosed a copy of your sports coach UK Safeguarding & Protecting Children certificate if you have one? Included details of your planned supported practice schedule? If proceeding with ECB CA membership have you: Completed the ECB CA membership application details? Completed the Direct Debit mandate for £30 per annum to the ECB CA, or chosen to pay by separate cheque for £37 to the ECB CA? Please forward all completed documentation to your County Board.
Consent: By submitting this form, you understand that you are consenting to receive information from the ECB by post, phone, email or SMS. Should you not wish to receive information about these opportunities, please tick this box: Your affiliated County Board/Coaches Association may wish to contact you regarding future cricket-related opportunities including courses, seminars and workshops. Consent: By submitting this form, you understand that you are consenting to receive information from your affiliated County Board/Coaches Association as described above by post, phone, email or SMS. Should you not wish to receive information about these opportunities, please tick this box: You are entitled to a copy of the information held about you for which a fee may be charged. Details of how to do this will be provided by your County Board/Coaches Association on request.
Submit your application Please send hard copies of signed application forms, direct debit form, certificates and cheque to your local County Cricket Board.
91800
Page 12
