VTC Course Approval RequestVTC course coordinators should use this form to request approval to hold a VTC course. More details about these topics can be found n VTC's "Open the Google Document " guide. If you have not gone through this process before, we also encourage you to contact your regional coordinator or another VTC trainer with more experience. We recognize that you may not yet have all the course details figured out, so "TBD" may be your answer for some questions. That said, the more questions you are able to answer definitively, the easier it will be for VTC to review and approve your course!Your InformationName(Required) First Last PhoneEmailCheck this box if you are also going to be the Lead Trainer at this proposed training I am also the Lead Trainer for this course Lead Trainer InformationLead Trainer Name(Required) First Last Lead Trainer Phone(Required)Lead Trainer Email(Required) Additonal TrainersConfirmed Additional Trainers(Required) Add RemoveNames of other confirmed, current VTC-qualified trainers and specialists who will be supporting this course: (Your course will only be approved if the number of VTC-qualified trainers (not including specialists) supports the number of students at a maximum 4-to-1 student/trainer ratio. Also, VTC currently requires a minimum of two VTC-qualified trainers at each course, regardless of the number of students.)Course InformationWhat type of course is this?(Required) Level 1 Course Train the Trainer Vertical Systems Offered(Required) Frog Ropewalker Mitchell Texas On what ascending system(s) will you offer training? (Note, you need to have at least one VTC qualified trainer endorsed to teach a given ascending system.)First Course Day(Date)(Required) MM slash DD slash YYYY Last Course Day(Date)(Required) MM slash DD slash YYYY Maximum Number of Students in Course(Required)Please enter a number from 1 to 100.Regional Coordinator Awareness Yes, and they are onboard Yes, but we still need to work out details Not Yet Have you discussed this course with your regional coordinator?Course Format(Required) Multiple contiguous days (e.g. Fri/Sat/Sun) Two weekends (e.g. Sat/Sun + Sat/Sun) Multiple evening sessions + a full day (e.g. six 2-3 hour training sessions every Tuesday, or T/W/Th+T/W/Th) Other Course Dates Longform(Required)If dates are non-contiguous please give a specific date range. Include times for partial days. Classroom LocationNSS HQ, Caver's Paradise, etc. Classroom Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Class VTC Region(Required)NortheasternEasternSoutheasternCentralSouth CentralRocky MountainWesternPacific NorthwestField SIte LocationLoaded Dice Cave, Gryffindor Cave, Tears of the Turtle Cave, etc. Field Site Date MM slash DD slash YYYY Can be up to 6 months after classroom course completionField Site Cave(Recommended) Cliff(Requires Approval) What type of field site are you planning to use? (note: VTC strongly recommends that the field portion of the course be held at a cave site, and allows this to occur up to six months after the rest of the course. Use of a cliff site requires VTC approval).Cliff JustificationPlease explain why you believe VTC should approve using a cliff site rather than a cave site for this course.Field Site DescriptionCave site description, e.g. cave name, pit depth, approximate number of student-rig points, drive time from primary course site (if applicable), hiking time from parking, pit distance into cave, access issues, any alternate exits from the bottom that do not require vertical work, any required mid-rope obstacles (VTC strongly recommends against using pits with mid-rope obstacles), GPX coordinates, etc. Course LogisticsAmenities Provided(Required) None - Course Instruction Only Onsite Camping or Lodging Only On-site camping/lodging plus meal plan (can be optional)d Choice Other What amenities do you plan to provide?Named Insureds(Required) Yes No Will any outside entities need to be added as insurance certificate holders or as additionally insured?This field is hidden when viewing the formAdditional Insured Names Add RemovePlease list the legal name as you want it on the COI. This can be changed later. Certificate HoldersCH Organization NameCH Full AddressCH Contact NameCH Contact Email Add RemoveThis is the default request for insurance. Unless the location specifically requests to be named as an Additional Insured, please use this field. Additional InsuredAI Organization NameAI Full AddressAIContact NameAI Contact Email Add RemoveIf a request is made to be named as additional insured, please use this field. Note that NSS insurance requires a contract for this. The NSS will provide one. Rigging GearWhere will you obtain your course rigging Gear? Course FinancesBudgetPer Student Administrative FeesInsurance FeeCourse Equipment FeeNon-NSS Member Additional FeeVTC FeeCourse-Specific CostsFacility FeePortapottiesFoodOtherNSS Member Price(Required)Course price for membersNon-Member Price(Required)Course price for non-membersEvent Listing Option Yes No Registration will be through RegFox. You have control over whether registration is open to the public. Do you want registration open to the public? The event will be listed on caves.org regardless, but registration will not be listed if you click "no."Course Advertising Yes No Do you want help from the NSS communications team to promote your course? Again, this does not affect whether or not your registration is open to the public. Other InformationOther InformationAnything else we should know?
