as a printable PDF - Professional Tennis Registry

M
A
P
erit
chievement
rogram
Application for MAP Rating
OFFICE USE ONLY
Join Date______/______/________
_________Approved
_________Return to Amend
Name______________________________________________ __________________________________________ _________
last first middle initial
Address____________________________________________________________________________________________________
___________________________________________________________________________________________________________
City______________________________________________ State/Country__________________ Postal Code_______________
Current PTR Rating_________ PTR member #___________ Email__________________________________________________
I am applying for the:
______
______
______
______
______
1A
2A
3A
4A
5A
Requires a minimum of 30 MAP points
Requires a minimum of 60 MAP points
Requires a minimum of 90 MAP points
Requires a minimum of 120 MAP points
Requires a minimum of 250 MAP points
Please note: MAP rating points are cumulative. For example, after achieving the 1A rating (requiring 30 points), you
will then need an additional 30 MAP points to achieve the 2A rating (requires 60 MAP points total). Points never expire.
As a PTR member in good standing, I realize the importance
of continuing to develop professionally. I have attended the
activities and events documented on this application and have
provided accurate and honest information to show support for
my attendance. I understand that any false information I provide
will terminate my certification with PTR.
Signature required________________________________________
You MUST complete both sides of this application
Date___________________________

M erit A chievement P rogram
List each activity/event you are submitting to complete your MAP point rating requirement. If you are applying for the 3A
or higher rating, you will need to complete and attach an additional MAP application.
Activity Location Date Points
1.__________________________________________________________________________________________________________
2.__________________________________________________________________________________________________________
3.__________________________________________________________________________________________________________
4.__________________________________________________________________________________________________________
5.__________________________________________________________________________________________________________
6.__________________________________________________________________________________________________________
7.__________________________________________________________________________________________________________
8.__________________________________________________________________________________________________________
9.__________________________________________________________________________________________________________
10._________________________________________________________________________________________________________
11._________________________________________________________________________________________________________
12._________________________________________________________________________________________________________
POINTS:
PREVIOUS POINTS EARNED:
_____________
_____________
TOTAL POINTS:
_____________
IMPORTANT
It is your responsibility to provide verification of the educational activities and events. To verify your points, you
must provide documented confirmation of attendance and participation in each educational activity. The preferred
documentation is a copy of the certificate received from the event. Other possible means to confirm attendance may be
the official name badge from the event or a letter confirming attendance. Brochures of events will not be considered as
confirmation of attendance.
Eductional courses, workshops and conferences receive points. Courses that exceed 20 hours in length earn 10 points.
Courses that are fewer than 20 hours earn 5 MAP points. PTR International Tennis Symposium is worth 15 points.
Master of Tennis participants will receive 30 points upon program completion.
Attach copies of all documentation of activities to this application.