Form - 1A

 

USPTA membership application

Thank you for applying for membership in the United States Professional Tennis Association. To facilitate your application, please carefully review the following procedures:

1. Please fill out the application form below.

2. Submit your nonrefundable application fee and your prorated dues for the current year. Application, dues and educational fees are included on the Dues and Fees Schedule. Upon receipt of your completed application, fee and dues, you will receive via e-mail, The USPTA's study manual, Complete Guide to USPTA Membership.  You will also receive via UPS new member package, including educational DVDs. You will become an applicant member with certain benefits until you pass the Certification Exam.

Personal Information

Mr. Ms. Miss Dr.
First name:*
   Last name:*
   Middle initial:
Date of birth:(mm/dd/yy)*
   Social Security number (Ex. xxx-xx-xxxx):
   Suffix:
Are you a U.S. citizen? 
 Yes  No		   If not, your green card number:
    
Optional: Please check the appropriate box identifying your particular race or ethnic group.
African American   Hispanic
Asian   Native American
Caucasian   Other
Your e-mail address:
   Web site (if you have one):
    

Contact Information
Home phone (please include area code. Ex. 555-555-5555):
Work phone (please include area code. Ex. 555-555-5555):

Cell phone (please include area code. Ex. 555-555-5555):

Have you ever applied for or been a member of the USPTA? Yes No

References
Please provide the name of the person who recommended USPTA membership to you:


Additional References:
Name:
   Phone (please include area code. Ex. 555-555-5555):
Name:
   Phone (please include area code. Ex. 555-555-5555):


Mailing/Shipping Address Information
Mailing/Shipping Address:
   
   
City:
  State/province:
   ZIP:
   Country:

Tennis-Teacher Job Experience

Current or Most Recent Employer
Length of time in position:
   Job title:
Employer's/club's name:
    
Employer's address:
            
City:
   State/province:
   ZIP:
   Country:
Phone (please include area code. Ex. 555-555-5555):

Previous Employer
Length of time in position:
   Job title:
Employer's/club's name:
    
Employer's address:
            
City:
   State/province:
   ZIP:
   Country:
Phone (please include area code. Ex. 555-555-5555):

Other Experience

Additional experience (If additional space is necessary):


Total number of years taught tennis:  yrs

Percentage of total income derived from tennis or tennis-related activities: %


Playing Experience

Include national, sectional, state and other rankings of importance,
as well as participation in high school, college, etc.


Scheduling an Exam

To reserve a space for the Certification Review Course (CRC) and Certification Exam, select a date and location and write the information in the spaces below. Return this completed application along with your application fee and dues to the Membership Department at least 21 days prior to the scheduled exam.

Certification exams can reach the maximum amount of applicants.  Please do not make travel arrangements until your certification has been confirmed.  if an exam you have chosen is full, we will contact you by phone.

The Membership Department can reserve a space for me. I understand that my application fee includes the cost of the CRC and exam.

Click here for a complete exam schedule.

Date:(mm/dd/yy)
   City/State:

I would like to take the online certification, which includes the Certification Review Course (CRC), written and grip exam.  I will take my on-court portions of the exam on the following:

Date:(mm/dd/yy)
   City/State:


I have not selected an exam date and location at this time, however, I will contact the Membership Department at least 21 days before to the exam to register.



Cancellation policy: A fee will be assessed if you cancel your exam reservation within 14 days of the exam (see fee schedule for amount). Those who do not cancel and do not show up for the exam will forfeit their entire application fee.


USPTA Code of Ethics

The Association expects its members to be of good character, to treat the public honestly and fairly, and to treat their fellow members in the tennis-teaching profession in the same way. Accordingly:

1. Any complaint against a member of dishonest or unfair dealing, either to the public or to a fellow member, shall be referred to an ethics committee that will be appointed by the President and that will always include general counsel. In its discretion, the ethics committee will act on the complaint, including an attempt to resolve the matter between the parties. Upon the determination of the ethics committee, however, the exercise by a member of his or her legal rights will be recognized and honored, and issues of fact or law will be left to the decision of a court of law.

2. If the ethics committee, in its discretion, considers the charge to be sufficiently serious, it may refer the matter to the Board of Directors, which, after due consideration, will have the power to expel the member or to determine any lesser punishment.

3. Any member who is convicted of a serious crime, as determined by the Board of Directors, will be subject to immediate expulsion from the Association.

I agree to abide by the rules, bylaws and Code of Ethics of USPTA and do all in my power to preserve and enhance the image of the tennis-teaching profession.

Study materials

You will receive your study materials via e-mail with a link to study study materials online.  If you wish to purchase a hard copy, please click CRC Study Guide below.  There is an additional charge of $25 for this.


Payment information

United States - $175 International - $260

Payment is being submitted for the following items (see Dues and Fees Schedule):

Application fee:
$ 		  Prorated dues:
$ 		  CRC Study Guide
Add
Total amount to be submitted:
$ 		       


Method of Payment

Card Type:

Credit Card Number: 

Exp Date (Ex. 06/05):
       

Cardholder's first name*:
 		    
Cardholder's last name*:
   Cardholder's billing address/ZIP code
 

Check (note: membership will not be processed until payment is received)

Questions? Call (800) 877-8248 (Membership)
If you are paying by check, please make payable to USPTA and mail to:

USPTA
3535 Briarpark Drive, Suite One
Houston, TX 77042