Color Sash Candidate for Graduation Form for Black Sash Graduation

IMPORTANT: ALL candidates MUST attend graduation in order to be certified. If you cannot attend graduation, you are not eligible to graduate. (Do not start procedure!!!)

Full Name of Candidate*

First NameLast Name

If for a child: Full name of parent or other guardian who is filling out this form.

First NameLast Name

Best E-mail*

example@example.com

Best Phone Number*

To what level sash are you (or your child) being recommended?*

Where do I need to be? The pre-test is on Monday December 1st or Tuesday December 2nd during your regular class. The test is on Wednesday December 3rd or Thursday December 4th during your regular class. The graduation is on Sunday December 7th at 12:07pm at Kick Butt Coffee. Doors open at 11:00am.

Anything else? Yes, if you are testing for Gold sash you also must have scheduled your tryout of Black Sash Training. Email Senior Head Instructor Durkin now (nataliedurkin@mastergohring.com) to get on the calendar and fulfill this requirement.

1. Will you be able to attend the pre-test?*

Yes, Sir.No, Sir.

2. Will you be able to attend the test?*

Yes, Sir.No, Sir.

3. Will you be able to attend the graduation event?*

Yes, Sir.No, Sir

4. For the graduation you must wear your clean, pressed uniform.*

Yes, Sir.

5. Have you and or your child set-up your time to try out Black Sash training AND scheduled your time to meet with Head Instructor Durkin for your Black Sash goal setting conference.*

YesYes and we are currently enrolled in the Black Sash Training program.Yes and we are currently enrolled in the Black Sash Training program and Masters Path Program.No but could you please contact us to set this up so we can graduate to our next sash?

6. Have you and or your child attended the summertime Fire Dragon tournament in Austin AND/OR the springtime World Star Chinese Martial Arts tournament in Houston?

Yes, as a spectator.Yes, as a competitor.Not yet, but will go to the next one that is available.Please tell me more about this.

What's due? The following is due by 8pm, Monday, December 2nd.

1. This form.*

Yes, Sir.

2. Your "3-things" Testimonial Letter. See below.*

Yes, Sir.

Write a Testimonial Letter describing what you have noticed since your last sash and what you see for your future in your training including:

3 areas that you have improved on since you started our program,
3 areas that you would like to make improvements on,
3 actions that you need to take to create improvements in these areas.

Deliver in person OR

Email to both master@mastergohring.com and nataliedurkin@mastergohring.com.

3. "Intent to Promote" Form (for those under 18 yrs old)

Yes, Sir.

4. Leadership log signed off? If testing for Purple Sash or above.*

Yes, Sir.No, Sir. I am only testing for Gold, Gold/Black, Orange, Orange/Black, Green, Green/Black, Blue or Blue/Black therefore I don't need leadership credit yet.

5. There is a $75 test fee. (Includes: pre-test, the test, graduation, sash and diploma)*

Yes, Sir.

Looking at where you are now and looking ahead to your future.

I (or my child) will graduate to Black Sash in December:*

Do you practice at home (or your child practice at home)?*

YesNo

If yes, please share what you are currently doing?

There are 3 types of students who join Grandmaster Gohring’s Apprentice Teacher Training Program. Which category do you (does your child) fall under?:*

Students who are certain they want a career as a professional Tai Chi and Kung Fu Martial Artist.Students who are interested in a career as a professional Tai Chi and Kung Fu Martial Artist, but who are not completely committed. These students want the training and will decide if that is a goal as they learn more about it.Students who do not want a career as a Tai Chi and Kung Fu Martial Artist but want the skills of a professional instructor to enhance their career, family, and overall life by living the principles of Tai Chi and Kung Fu in their everyday lives.

Please send me information regarding (Check all that apply):

Masters path trainingApprentice teacher trainingAdding a family member at a discountDiscount on graduation feesConference regarding my training goalsPrivate lessons to catch up or get ahead

A ticket is included, at no extra cost, for the individual who is graduating. Pick-up at the office or at the door on the day of the event. Additional tickets are only $15 for regular seating and $25 for VIP booth/table seating.*

Yes, Sir.

Including the graduate how many total tickets will you need?*

Would you like to upgrade these tickets to VIP*

An optional lunch buffet of select sandwiches, salad, pizzas, chips and queso, etc. will be available for purchase. It's only $15 if you pre-order or $20 if you purchase the day of the event. How many would you like to pre-order? (Note: The kitchen will be closed and regular food orders will not be available.)

We will charge your account for your test, extra tickets and/or buffet pre-orders.*

Yes, please charge by account (best choice)I have already paidIn person with cash, check, check card or charge.

Comments, Questions and/or Suggestions?

Candidate for Graduation - If you are under 13, this application MUST be completed by a parent or guardian.