High Dan Assessment and Verification

• Participant Applicant First Name

  Participant Applicant Last Name
  

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• Participant Email Address
  

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• Mobile Phone
  

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• Your Instructors Name:

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• Current Moo Do Rank:

  4th5th Dan6th Dan7th Dan8th Dan9th Dan
  

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• Current Rank Date Issued:

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• Kukkiwon Rank:

  4th5th Dan6th Dan7th Dan8th Dan9th Dan
  

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• Kukkiwon Rank Date Issued:

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• Have you met your time in grade requirement? (see testing chart)

  Yes No
  

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• Master Title:

  NoneMasterSenior MasterChief MasterGrandmaster
  

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• What date did you receive your Mastership?

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• What year did you receive your Instructor Certification?

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• List Moo Do Instructor Certification and recertification dates:
  

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• Is your Moo Do Instructor Certification current?

  Yes No
  

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• Do you hold Level 3 Judging Certification?

  Yes No
  

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• Do you own a Taekwondo Club?

  Yes No
  

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• Do you own a Taekwondo School?

  Yes No
  

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• Do you teach a minimum of 2 classes a week at a Taekwondo School? (If you are not a school owner)

  YesNoN/A
  

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• If you are an instructor at a school, are you in charge of any programs? (i.e. sparring fight night, demo team, etc.)

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• Have you been training 1-2 classes a week on average every year for your time and grade?

  Yes No
  

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• Have you completed one Midterm per year for every year of time and grade?

  Yes No
  

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• Have you participated in 2 tournaments per year on average for your time and grade?

  Yes No
  

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• Have you Judged 2-4 times per year on average for your time and grade?

  Yes No
  

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• If you answered NO to any of the above, please explain why.
  

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• What year did you complete your Kukkiwon Master Course? (If you have not, please type "not completed")

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• What year did you complete your Kukkiwon Examiners Course? (If you have not, please type "not completed")

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• List any other competition and judging events you have you participated in on a yearly basis during your time in grade.
  

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• List all seminars you have attended in your time in grade.
  

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• List all continued education and training you have participated in during your time in grade. (i.e. Kukkiwon training courses, Moo Do training courses, workshops, business seminars, etc.)
  

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• Please note that in the very near future in order to obtain Kukkiwon High Dan Rank, they will be requiring completion of Kukkiwon Training Courses. So, for example, if you don't have a level 3 Kukkiwon instructor status, you will not be able to get Kukkiwon 5th dan.

  

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