Usjf Form PDF Details

Are you looking for a way to document your martial arts training and track your progress? The United States Ju-Jitsu Federation (USJF) has developed a form that allows you to do just that. This form is an exceptional tool that allows practitioners of the art of ju-jitsu to clearly articulate their individual goals, accomplishments, and experiences in their chosen practice. Whether you are already training or considering taking up ju-jitsu as a hobby, this USJF Form can help guide your journey and provide valuable insight into your progession as well as grant access to exclusive events sanctioned by USJF. Read on further to understand how the USJF Form works its magic!

QuestionAnswer
Form NameUsjf Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesusjf 20, form judo federation, 4 usjf 7, usjf form judo

Form Preview Example

UNITED STATES JUDO FEDERATION

RECOMMENDATION FOR PROMOTION

CLASSIFICATION

COMPETITOR

NON-COMPETITOR

LAST

FIRST

MIDDLE

NAME (Mr. Mrs. Ms. Miss Dr.)

ADDRESS

CITY

 

 

 

 

 

 

 

 

 

ST & ZIP

 

 

 

 

 

 

PH

 

 

 

 

 

EMAIL

 

 

 

 

 

 

AGE

 

 

DOB

 

 

 

 

 

 

HEIGHT

 

 

 

WEIGHT

 

OCCUPATION

 

 

 

 

 

 

 

 

 

FIRM

 

 

 

 

 

 

 

 

 

 

 

( 3 ) JUDO AFFILIATIONS

 

 

 

 

 

AFFILIATION

 

 

 

BEGINNING

 

PRESENT

DOJO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YUDANSHAKAI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENTRY DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 4 ) SHIAI RECORD

 

 

 

 

 

DATE

 

 

EVENT

 

 

OPPONENT

 

RANK

 

RESULT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( 7 ) AWARDS-CHAMPIONSHIPS-CONTRIBUTIONS

DATE

DESCRIPTION

ORGANIZATION/EVENTS

( 2 ) PROMOTION HISTORY

Copy of last rank certificate is REQUIRED if NON-USJF rank

RANK

DATE

USJF Rank #

Other

8DAN

7 DAN

6 DAN

5 DAN

4 DAN

3 DAN

2 DAN

1 DAN IKKYU ENTRY

( 5 ) KATA PROFICIENCY

MUST have ALL required kata(s)

Please input certification level or “√”

NAGE:

KATAME:

KIME:

JU:

GOSHINJUTSU:

ITSUTSU:

KOSHIKI:

( 6 ) GENERAL ABILITY

AVE WEEKLY PRACTICE:

FAVORITE WAZA:

GENERAL ATTITUDE:

( 8 ) EDUCATIONAL HISTORY

EDUCATION

GRADE SCHOOL

HIGH SCHOOL

COLLEGE

GRADUATE

Degrees

YEARS COMPLETED

1 2 3 4 5 6 7 8

9 10 11 12

1 2 3 4

1 2 3 4 5

 

 

( 9 ) YUDANSHAKAI ENDORSEMENT

 

DATE:

RANK RECOMMENDED:

 

 

 

 

REASON FOR RECOMMENDATION:

 

 

 

 

YUDANSHAKAI:

 

 

 

 

 

SIGNED:

 

TITLE:

 

 

 

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

 

 

Page 1 of 8

 

 

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

1.USJF Charter Club Head Instructors – Must be Head Instructor the entire Time in Grade period (Reduction % = 50 members & more – 10%; 30-49 – 7%; 20-29 – 5%; 10-19 – 3%; 1-9 – 1%)

Year

Club

# of Members

Part 1 maximum TIG reduction = 10% & cannot claim TIG under Part 2

Total Reduction %: _______________

2.USJF Charter Club Assistant Instructors – Must be Assistant Instructor the entire Time in Grade period (Reduction % = 50 members & more – 5%; 30-49 – 4%; 20-29 – 2%; 10-19 – 1%)

Year

Club

# of Members

Part 2 maximum TIG reduction = 5%

Total Reduction %: ________________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 2 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

3. Referee and Technical Staff

 

 

 

Referee Class: ________________

 

Technical Staff Level: ________________

Work an average of 6 or more events per year during entire Time in Grade Period:

 

Referee Class – A/B/C/N

6%

Technical Staff – Natl/Intl Events

6%

Referee Class – Regional/Local

4%

Technical Staff – Regional/Local

4%

Work an average of 3 to 5 events per year during entire Time in Grade Period:

 

Referee Class – A/B/C/N

3%

Technical Staff – Natl/Intl Events

3%

Referee Class – Regional/Local

2%

Technical Staff – Regional/Local

2%

Year

Event

Event

Event

Event

Event

Event

Part 3 maximum TIG reduction = 6% via any combination of activities

Total Reduction %: ___________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 3 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

4. Kata Judge and Kata Technical Staff

 

 

 

Work an average of 2 or more events per year during entire Time in Grade Period:

 

Judge Class – A

6%

Technical Staff – Natl/Intl Events

6%

Judge Class – Regional/Local

4%

Technical Staff – Regional/Local

4%

Kata Judge Certification Level:

Nage ___ Katame ___ Ju ___ Kime ___ Goshinjutsu ___ Itsutsu ___ Koshiki ___

Technical Staff: __________________________________________________________

Year

Event

Event

Event

Event

Event

Event

Part 4 maximum TIG reduction = 6% via any combination of activities

Total Reduction %: ___________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 4 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

5.Kata Instructor Certification

Kata

Class A

Class B

Class C

Checked

Reduction

 

(1%) / Date

(.5%) / Date

(.25%) / Date

 

%

Nage no Kata

 

 

 

 

 

 

 

 

 

 

 

Katame no Kata

 

 

 

 

 

 

 

 

 

 

 

Ju no Kata

 

 

 

 

 

 

 

 

 

 

 

Kime no Kata

 

 

 

 

 

 

 

 

 

 

 

KDK Goshinjutsu

 

 

 

 

 

 

 

 

 

 

 

Itsutsu no Kata

 

 

 

 

 

 

 

 

 

 

 

Koshiki no Kata

 

 

 

 

 

 

 

 

 

 

 

Part 5 maximum TIG reduction = 7% (1% per kata)

Total Reduction %: ____________

6.Coach Certification

(National Gold – 5%; National Silver – 3%; National Bronze – 2%; National Coach - 1%)

Certification

Coach

National Gold

Date

National Silver

Date

National Bronze

Date

National Coach

Reduction

Date

%

 

 

Part 6 maximum TIG reduction = 5%

Total Reduction %: __________

7.Teacher Certification (Master Teacher – 5%; Instructor – 3%; Assistant Instructor – 1%)

Category

Master Teacher

Instructor

Assistant Instructor

Reduction

 

Date

Date

Date

%

Teacher

Part 7 maximum TIG reduction = 5%

Total Reduction %: __________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 5 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

8.USJF Life Member (LM) & Presidentʼs Club Life Member (PCLM) (5% to 10%)

Category

Membership #

Date

Reduction %

Regular LM - 5%

 

 

 

 

 

 

 

PCLM Charter - 6%

 

 

 

 

 

 

 

PCLM Executive - 7%

 

 

 

 

 

 

 

PCLM Presidential - 8%

 

 

 

 

 

 

 

PCLM Executive VIP - 9%

 

 

 

 

 

 

 

PCLM Presidential VIP - 10%

 

 

 

 

 

 

 

Part 8 maximum TIG reduction = 10%

 

 

 

 

Total Reduction %: ____________

9.Service as Yudanshakai Officer (10%)

From

To

Position

Part 9 maximum TIG reduction = 10%

Total Reduction %: ____________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 6 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

10. Service as USJF Officer (10%)

From

To

Position

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 10 maximum TIG reduction = 10%

Total Reduction %: ____________

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 7 of 8

USJF Form 20, v4.3.1, 120531

REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

Max. Reduct. of Time-In-Grade for Non-Competitors Is 30% For All 10 Sections (Total) - 10/18/00 & 4/19/12

Max. Reduct. of TIG for Comps. is 5%-10% for Life & Presidentʼs Club LM, Depending on LM Type - 9/23/09 & 4/19/12

Note: Please Attach To Page 1 Of The Form 20 Only Those Pages, If Any, With TIG Reduction Entries

Candidate Name: ______________________________________________

SUMMARY OF REDUCTIONS OF TIME-IN-GRADE BY CONTRIBUTION

 

Category

Reduction %

Maximum

1.

USJF Charter Club Head Instructors

 

10%

 

Must be teaching entire Time in Grade period

 

 

 

 

 

 

 

 

2.

USJF Charter Club Assistant Instructors

 

5%

 

Must be teaching entire Time in Grade period

 

 

 

 

 

 

 

 

3.

Referee and Technical Staff

 

6%

 

 

 

 

4.

Kata Judge and Kata Technical Staff

 

6%

 

 

 

 

5.

Kata Instructor Certification

 

7%

 

 

 

 

6.

Coach Certification

 

5%

 

 

 

 

7.

Teacher Certification

 

5%

 

 

 

 

8.

USJF Life Member

 

10%

 

 

 

 

9.

Service as Yudanshakai Officer

 

10%

 

 

 

 

10.

Service as USJF Officer

 

10%

 

 

 

 

Cumulative TIG Reduction For Non-Competitors Cannot Exceed 30% - 10/18/00 & 4/19/12 Maximum TIG Reduction For Competitors Is 5%-10% For Life & Presidentʼs Club Life Membership, Depending On Life Membership Type - 9/29/09 & 4/19/12

Total Reduction %: ________________

Promotion Candidate Endorsement:

Promotion Candidateʼs Name

Signature of Candidate

Date

Yudanshakai Endorsement: Yudanshakai Official – President/Chairman of Board of Examiners

Yudanshakai Officialʼs Name & Title

Signature of Official

Date

ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected

Page 8 of 8

USJF Form 20, v4.3.1, 120531