International Isshin Ryu Karate Federation Rank Promotion Application Name _________________________________________ Date of Birth ___________ IIKF # ___________________________ Address ___________________________________________________________ ___________________________________________________________________ Telephone ___________________________ Email ____________________ Instructor (Sensei) Name ________________________________ Are you actively training with your instructor at this time? Yes___ No___ Rank Applied for: ___ Shodan (1st degree) ___ Sandan (3rd degree) ___ Godan (5th degree) ___ Nanadan (7th degree) ___ Kudan (9th degree) ___ Nidan (2nd degree) ___ Yondan (4th degree) ___ Rokudan (6th degree) ___ Hachidan (8th degree) Date of Application ___________ Which method of Rank Promotion review are you planning to use? ___ Live, in person, performance ___ Video performance All ranks up to and including 5th degree must be tested for, in front of a panel of rank examiners or through video performance. Guidelines for black belt degree promotions (katas, time and age requirements) are listed in the IIKF Handbook. Fill out and return this form and the attached resume form. After promotion rank review (live or video), you will be informed about your eligibility for your next rank. Certificate and promotion fee will be due at that time. For international memberships please add $10.00 for shipping costs International Isshin Ryu Karate Federation Martial Arts Resume Name ____________________________________________ Current rank ___________________ Style __________________ Date your received your last rank ______________________ Name of person promoting you to your last rank __________________________ Please give a description of your recent Accomplishments, Awards, Certifications, Trainings, etc. since last rank promotion Use other side of this sheet if needed Please Mail or Fax To: International Isshin Ryu Karate Federation 1512 Spencerport Rd Rochester, NY 14606 (585) 429-6344