Award Nomination Form

Award Nomination Form - Students
If nominating someone else, you will receive an email confirmation if the nomination has been approved.
Nomination Type*

Teaching Title Nomination (Karate & Kickboxing)Cross Nomination -Bushido & Ishoa (normally min rank of Brown Belt)Recognition Award Nomination (Years of Training Min 5 -35 Years)Hall of Fame Nomination (Min 40 Years Training)
Self Nomination or Nominating Someone Else?*

Self NominationNominating Someone Else
Style*
Recognition Award Nomination*

5 Year Recognition Award10 Year Recognition Award15 Year Recognition Award20 Year Recognition Award25 Year Recognition Award30 Year Recognition Award35 Year Recognition Award40 Year Recognition Award
Cross Nomination (Male: Bushido, Female: Ishoa)*
Title Nomination (Karate)*
Title Nomination (Kickboxing)*
Title Nomination (Boxing)*
Title Nomination (MMA)*
Nominators Details (Person filling out form will also receive a copy of the nomination)
Eligible nominators must be the students club instructor of equal rank or higher to be eligible to nominate someone for an award such a teaching title or martial arts cross.
Full Name of Person Filling Out Form (Nominator) *

First NameLast Name
Current Rank (Nominator) *
(Nominator) Phone Number*
(Nominator) Email Address*
example@example.com
Nominee (Person to receive the award will receive a copy of the nomination)
Current Club Location*
Instructor's Name *
Nominee Full Name *

First NameLast Name
Nominee Current Rank
Nominee Approx Years Training *
Nominee Phone Number
Nominee Email Address (Nominee will receive a copy of the nomination)
example@example.com
Validating the Award Nomination
Teaching Title Meanings Information
Cross Meanings Information
Why do you feel you or the person being nominated is a worthy recipient of this award ?
What qualities / values does the student show that reflects / mirrors the award nomination ?
What qualities / values does the student show that reflects / mirrors the award nomination ?Upload

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Recognition Awards: Upload any supporting documents proving your training history e.g. certificates, forms, etc.

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Has their been any signifcant breaks in your training since you started? Please mention below
Additional comments to support the nomination
(Person completing form to sign ) - I sign this doc with the understanding that my nomination still needs to be approved. *

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Award Nomination Form - Students

Nominators Details (Person filling out form will also receive a copy of the nomination)

Nominee (Person to receive the award will receive a copy of the nomination)

Validating the Award Nomination