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Black Belt Grading Application
Please follow the instructions to fill out the form. Use the details for the person who is applying. (So if you are filling in the form on behalf of someone else, use THEIR name, age, grade etc.)
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1
Name
*
This field is required.
Please enter your name.
First or Given Name
Last or Family Name
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2
Email
*
This field is required.
Please enter your e-mail address in the first box, and confirm it in the second.
example@example.com
Confirm Email
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3
Phone Number
*
This field is required.
Please enter your phone number.
e.g. 0748 478 5882
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4
Do you have BOTH of these books?
*
This field is required.
You need to have both LCTKD's Complete TaeKwonDo Handbook and LCTKD's Illustrated TaeKwonDo Manual before making your application.
Yes, I have them both already.
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5
Do you have an LCTKD Dobok?
*
This field is required.
This means a formal one with the LCTKD logo. You must have one before making your application.
Yes, I have an LCTKD Dobok
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6
Does your Instructor agree to you making this application?
*
This field is required.
You need to have your Instructor's support to make this application.
Yes, my Instructor agrees that I should make this application.
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7
What is your CURRENT grade?
*
This field is required.
Please tell us the ITF TaeKwonDo grade you are now. If you are not yet 1st Kup, you need to wait until you reach 1st Kup. if you are beyond 5th Dan, please contact us as there is a different process for you.
1st Kup
1st Dan or Junior 1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
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8
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mr Jon Alagoa
Mrs Helen M F Hall
Mr Douglas Knight
Miss Rebecca Nevin
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9
What is your age TODAY?
*
This field is required.
You need to be at least 7 to make this application.
over 7 but under 8
over 8 but under 13
over 13 but under 14
over 14
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10
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You need to be at least a Junior Leader to make this application. If you are a Junior Leader but approaching or over 12, you can still apply - but note that if you are over 12 at the date of the final examination, you will need to be a Teaching Assistant by then.
Junior Leader
Teaching Assistant or higher
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11
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You need to be at least a Junior Leader to make this application. If you are a Junior Leader but approaching or over 12, you can still apply - but note that if you are over 12 at the date of the final examination, you will need to be a Teaching Assistant by then.
Junior Leader
Teaching Assistant or higher
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12
What is the highest LCTKD Teaching Qualification you have?
You need to be at least a Teaching Assistant to make this application.
Teaching Assistant
Assistant Instructor or higher
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13
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You need to be at least a Teaching Assistant to make this application.
Teaching Assistant
Assistant Instructor or higher
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14
Has it been over 2 years since your last grading?
*
This field is required.
It must be over 2 years for you to apply.
Yes, it has been over 2 years.
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15
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mrs Helen M. F. Hall
Mr Douglas Knight
Miss Rebecca Nevin
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16
Seminars, Workshops and Courses in the past year.
*
This field is required.
You need to have done 4 OUTSIDE YOUR OWN CLUB to apply. Please check the handbook for what counts, and if you have done more than 4 tick the box here to continue.
I have checked the handbook for what counts, and I have done 4 or more in the past year.
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17
How many were run by LCTKD?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been run by LCTKD for you to apply.
2 or more
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18
How many were NOT specific to TaeKwonDo?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been NOT specific to TaeKwonDo for you to apply. These things count: other martial arts, general things for all martial arts like fitness or teaching skills, and other things relevant to martial arts, like Yoga.
2 or more
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19
Which Seminars, Workshops and Courses did you do?
*
This field is required.
You have confirmed that you have done 4 or more that count in the past year. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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20
What is your age TODAY?
*
This field is required.
You need to be at least 14 to make this application.
Over 14 but under 15
Over 15 but under 16
Over 16
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21
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least a Teaching Assistant to apply.
Teaching Assistant
Assistant Instructor or higher
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22
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least an Assistant Instructor to apply.
Assistant Instructor
Tutor or higher
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23
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least an Assistant Instructor to apply.
Assistant Instructor
Tutor or higher
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24
What is your age TODAY?
*
This field is required.
You need to be at least 18 to make this application.
I am over 18
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25
Has it been over 3 years since your last grading?
*
This field is required.
It must be over 3 years for you to apply.
Yes, it has been over 3 years.
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26
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least Instructor to apply.
Instructor
Senior Instructor or higher
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27
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mrs Helen M. F. Hall
Mr Douglas Knight
Miss Rebecca Nevin
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28
Seminars, Workshops and Courses in the past year.
*
This field is required.
You need to have done 4 OUTSIDE YOUR OWN CLUB to apply. Please check the handbook for what counts, and if you have done more than 4 tick the box here to continue.
I have checked the handbook for what counts, and I have done 4 or more in the past year, or soon will have.
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29
How many were run by LCTKD?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been run by LCTKD for you to apply.
2 or more
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30
How many were NOT specific to TaeKwonDo?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been NOT specific to TaeKwonDo for you to apply. These things count: other martial arts, general things for all martial arts like fitness or teaching skills, and other things relevant to martial arts, like Yoga.
2 or more
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31
Which Seminars, Workshops and Courses did you do?
*
This field is required.
You have confirmed that you have done 4 or more that count in the past year. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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Ok
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Ok
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32
What is your age TODAY?
*
This field is required.
You need to be at least 23 to make this application.
I am over 23
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33
Has it been over 4 years since your last grading?
*
This field is required.
It must be over 4 years for you to apply.
Yes, it has been over 4 years.
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34
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least an Instructor with your own club for a year to apply.
Instructor with your own club for a year
Senior Instructor or higher
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35
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mrs Helen M. F. Hall
Mr Douglas Knight
Miss Rebecca Nevin
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Enter
36
Seminars, Workshops and Courses in the past year.
*
This field is required.
You need to have done 4 OUTSIDE YOUR OWN CLUB to apply. Please check the handbook for what counts, and if you have done more than 4 tick the box here to continue.
I have checked the handbook for what counts, and I have done 4 or more in the past year.
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37
How many were run by LCTKD?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been run by LCTKD for you to apply.
2 or more
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Enter
38
How many were NOT specific to TaeKwonDo?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been NOT specific to TaeKwonDo for you to apply. These things count: other martial arts, general things for all martial arts like fitness or teaching skills, and other things relevant to martial arts, like Yoga.
2 or more
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39
How many were taught by you?
*
This field is required.
One of the Seminars, Workshops and Courses must have been organised and taught by you with the approval of the Chief Instructor.
1 or more
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40
Which Seminars, Workshops and Courses did you do?
*
This field is required.
You have confirmed that you have done 4 or more that count in the past year, at least one taught by you. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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41
LCTKD Events in the past year
*
This field is required.
You need to have attended at least 2 LCTKD events in the past year as an official. (This can include judging in a competition, even if you have already counted that under seminars, workshops and courses above.) How many did you attend as an official?
2 or more
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42
How many LCTKD events did you help to organise?
*
This field is required.
You need to have helped to organise at least 1 in the past year.
1 or more
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43
Which LCTKD events did you attend?
*
This field is required.
You have confirmed that you have attended 2 or more in the past year as an official, at least one of which you helped to organise. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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44
What is your age TODAY?
*
This field is required.
You need to be at least 29 to make this application.
I am over 29
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45
Has it been over 5 years since your last grading?
*
This field is required.
It must be over 5 years for you to apply.
Yes, it has been over 5 years.
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46
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least a Senior Instructor to apply.
Senior Instructor
Director or higher
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47
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mrs Helen M. F. Hall
Mr Douglas Knight
Miss Rebecca Nevin
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Enter
48
Seminars, Workshops and Courses in the past year.
*
This field is required.
You need to have done 5 OUTSIDE YOUR OWN CLUB to apply. Please check the handbook for what counts, and if you have done more than 5 tick the box here to continue.
I have checked the handbook for what counts, and I have done 5 or more in the past year.
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Enter
49
How many were run by LCTKD?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been run by LCTKD for you to apply.
2 or more
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Submit
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Enter
50
How many were NOT specific to TaeKwonDo?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been NOT specific to TaeKwonDo for you to apply. These things count: other martial arts, general things for all martial arts like fitness or teaching skills, and other things relevant to martial arts, like Yoga.
2 or more
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Submit
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Enter
51
How many were taught by you?
*
This field is required.
One of the Seminars, Workshops and Courses must have been organised and taught by you with the approval of the Chief Instructor.
2 or more
Previous
Next
Submit
Press
Enter
52
Which Seminars, Workshops and Courses did you do?
*
This field is required.
You have confirmed that you have done 4 or more that count in the past year, at least one taught by you. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
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Submit
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Enter
53
LCTKD Events in the past year
*
This field is required.
You need to have attended at least 2 LCTKD events in the past year as an official. (This can include judging in a competition, even if you have already counted that under seminars, workshops and courses above.) How many did you attend as an official?
2 or more
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Enter
54
How many LCTKD events did you help to organise?
*
This field is required.
You need to have helped to organise at least 1 in the past year.
1 or more
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55
Which LCTKD events did you attend?
*
This field is required.
You have confirmed that you have attended 2 or more in the past year as an official, at least one of which you helped to organise. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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Ok
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56
What is your age TODAY?
*
This field is required.
You need to be at least 35 to make this application.
I am over 35
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57
Has it been over 6 years since your last grading?
*
This field is required.
It must be over 6 years for you to apply.
Yes, it has been over 6 years.
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58
What is the highest LCTKD Teaching Qualification you have?
*
This field is required.
You must be at least a Senior Instructor to apply.
Senior Instructor
Director or higher
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Submit
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Enter
59
Who is your Instructor?
*
This field is required.
Please tick your main Instructor. If your Instructor's name is not on this list, you will not be eligible.
Mr Neil R. Hall
Mrs Helen M. F. Hall
Mr Douglas Knight
Miss Rebecca Nevin
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Submit
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Enter
60
Seminars, Workshops and Courses in the past year.
*
This field is required.
You need to have done 5 OUTSIDE YOUR OWN CLUB to apply. Please check the handbook for what counts, and if you have done more than 5 tick the box here to continue. (This does not include the one assessed as part of your final examination.)
I have checked the handbook for what counts, and I have done 5 or more in the past year.
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Submit
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Enter
61
How many were run by LCTKD?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been run by LCTKD for you to apply.
2 or more
Previous
Next
Submit
Press
Enter
62
How many were NOT specific to TaeKwonDo?
*
This field is required.
Of the Seminars, Workshops and Courses, at least 2 have to have been NOT specific to TaeKwonDo for you to apply. These things count: other martial arts, general things for all martial arts like fitness or teaching skills, and other things relevant to martial arts, like Yoga.
2 or more
Previous
Next
Submit
Press
Enter
63
How many were taught by you?
*
This field is required.
One of the Seminars, Workshops and Courses must have been organised and taught by you with the approval of the Chief Instructor. (This does not include the one assessed as part of your final examination.)
2 or more
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Next
Submit
Press
Enter
64
Which Seminars, Workshops and Courses did you do?
*
This field is required.
You have confirmed that you have done 5 or more that count in the past year, at least one taught by you. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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Small
Ok
quote
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Ok
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65
LCTKD Events in the past year
*
This field is required.
You need to have attended at least 2 LCTKD events in the past year as an official. (This can include judging in a competition, even if you have already counted that under seminars, workshops and courses above.) How many did you attend as an official?
2 or more
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Submit
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Enter
66
How many LCTKD events did you help to organise?
*
This field is required.
You need to have helped to organise at least 1 in the past year.
1 or more
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67
Which LCTKD events did you attend?
*
This field is required.
You have confirmed that you have attended 2 or more in the past year as an official, at least one of which you helped to organise. Please tell us what they were. Just a title (or the topic), approximate date, and location is fine.
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Ok
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68
You have now answered all the questions.
If you have anything else you would like to add, you can do that in the box below. When you are ready, click SUBMIT to finish your application.
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