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!
Question | Answer |
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Form Name | Usjf Form |
Form Length | 8 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 2 min |
Other names | usjf 20, form judo federation, 4 usjf 7, usjf form judo |
UNITED STATES JUDO FEDERATION
RECOMMENDATION FOR PROMOTION
CLASSIFICATION |
COMPETITOR |
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LAST |
FIRST |
MIDDLE |
NAME (Mr. Mrs. Ms. Miss Dr.)
ADDRESS
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ST & ZIP |
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AGE |
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DOB |
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HEIGHT |
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WEIGHT |
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OCCUPATION |
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FIRM |
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( 3 ) JUDO AFFILIATIONS |
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AFFILIATION |
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BEGINNING |
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PRESENT |
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DOJO |
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YUDANSHAKAI |
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INSTRUCTOR |
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ENTRY DATE |
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( 4 ) SHIAI RECORD |
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DATE |
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EVENT |
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OPPONENT |
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RANK |
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RESULT |
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( 7 )
DATE |
DESCRIPTION |
ORGANIZATION/EVENTS |
( 2 ) PROMOTION HISTORY
Copy of last rank certificate is REQUIRED if
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 |
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( 9 ) YUDANSHAKAI ENDORSEMENT |
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DATE: |
RANK RECOMMENDED: |
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REASON FOR RECOMMENDATION: |
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YUDANSHAKAI: |
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SIGNED: |
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TITLE: |
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ALL pages MUST be typed for submission to the National Office • Altered forms will be rejected |
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Page 1 of 8 |
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USJF Form 20, v4.3.1, 120531 |
REDUCTIONS OF
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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%;
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%;
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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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 |
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Referee Class: ________________ |
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Technical Staff Level: ________________ |
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Work an average of 6 or more events per year during entire Time in Grade Period: |
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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: |
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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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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 |
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Work an average of 2 or more events per year during entire Time in Grade Period: |
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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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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 |
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(1%) / Date |
(.5%) / Date |
(.25%) / Date |
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% |
Nage no Kata |
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Katame no Kata |
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Ju no Kata |
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Kime no Kata |
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KDK Goshinjutsu |
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Itsutsu no Kata |
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Koshiki no Kata |
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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 |
% |
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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 |
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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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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% |
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PCLM Charter - 6% |
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PCLM Executive - 7% |
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PCLM Presidential - 8% |
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PCLM Executive VIP - 9% |
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PCLM Presidential VIP - 10% |
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Part 8 maximum TIG reduction = 10% |
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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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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 |
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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
Max. Reduct. of
Max. Reduct. of TIG for Comps. is
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
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Category |
Reduction % |
Maximum |
1. |
USJF Charter Club Head Instructors |
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10% |
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Must be teaching entire Time in Grade period |
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2. |
USJF Charter Club Assistant Instructors |
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5% |
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Must be teaching entire Time in Grade period |
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3. |
Referee and Technical Staff |
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6% |
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4. |
Kata Judge and Kata Technical Staff |
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6% |
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5. |
Kata Instructor Certification |
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7% |
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6. |
Coach Certification |
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5% |
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7. |
Teacher Certification |
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5% |
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8. |
USJF Life Member |
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10% |
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9. |
Service as Yudanshakai Officer |
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10% |
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10. |
Service as USJF Officer |
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10% |
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Cumulative TIG Reduction For
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 |