USSF DAN RANK APPLICATION - Americansumo.org

USSF DAN RANK APPLICATIONSECTION 1PERSONAL DATAName:Address:Date:E-mail Address:Phone:Male / Female(circle)Minimum18 yrs Shodan,21 yrs Nidan,24 yrs SandanBirthdate:Age:Dan rank applying for:SHODANNIDANSANDANSECTION 2MERITORIOUS SERVICETime in Service:How long have you been in sumo?How long have you been a member of the USSF?Time in Grade:Training:(If applicable) Date of last rank?(If applicable) Date(s) of other ranks?Completed the KYU grades? with who?Length of time you've been training?How long are your training sessions?(i.e. twice a week for 2 hrs the past three years)Who do you train with?Have you any training in Japan or other foreign training?SECTION 3DAN REFERENCEAsk your sensei and/or other higher ranking Dan member(s) to write a letter of recommendationThe letter from a higher ranking Dan member should include the following:A. Reasons for your promotionB. Character referenceC. Degree of knowledge and understanding of sumoD. Verification of grade (belt) trainingRecommend that this be sent directly to the promotion Board or delivered in a sealed envelope.Note: It is up to the recommending individual whether he/she shares what they have submitted to the Promotion Board with the applicant.

SECTION 4ATHLETIC LEVELHighest athletic level sincelast promotionHighest athletic levelin your careerHighest officiating levelsince last promotionHighest officiating levelin your careerAthletic Level:1 World level medalist2 International level medalist3 World level competitor4 International level competitor5 National level medalist6 National level competitor7 State level medalist8 State level competitor9 Local level medalist10 Local level competitorOfficiating Level:1 World2 International3 National4 State5 LocalFor Sections 5-8:#1If applying for Shodan, list details for the past three (3) yearsIf applying for Nidan or higher, list details since last promotionSECTION 5COMPETITION RECORDDate Level Location Remarks:medal / place, division, W/L record, notableopponents defeated, etc…23456789101112Add separate sheet if needed

SECTION 6TEACHING / INSTRUCTOR / COACHING EXPERIENCEWhat USSF club do you instruct at?Are you the Lead Instructor for your group?Length of time you've been teaching/instructing/coaching?How long are your training sessions?What is your current training schedule?Who do you train with? Adults/children?How many students do you have?Other Comments:#1234567891011121314151617181920SECTION 7OFFICIATING EXPERIENCEDate Level Location Remarks:position (i.e. judge/referee), division(s), howmany matches, how many mono-ii, etc…

Sec 12Kata DemonstrationSec 11 Written TestSec 9 Future PlansSec 8 AchievementsSec 7 OfficiatingSec 6 InstructorSec 5 CompetitionSec 4 Athletic LevelSec 3 ReferenceSec 2 TIG / TISSECTION 8 OTHER SUMO ACHIEVEMENTSInclude: other titles/positions held in local club/USSF/ISF, hosting of tournaments/demonstrations,contributions to sumo/local club/USSF/ISF, etc...SECTION 9PLANS OF CONTINUING SUMO EDUCATION & SUPPORTSECTION 10Minimum of three (3) for Shodan,Minumum of two (2) for Nidan and SandanFOR USE BY PROMOTION BOARDDATE:Board MemberOverallApprovalY / N12345Remarks:PROMOTED TO THE RANK OF:of 10…of 10…of 10…of 10…of 10…PassedRe-Test

For use by Shodan Promotion BoardSECTION 12 KATA / FORMS SHODANDemonstrate each of the following:Demonstrate 10 or more of the following:Default LossKimarite / TechniquesPass Fail Pass FailFumidashi (rear step out)Yorikiri (front force out)Isamiashi (forward step out)Yoritaoshi (front force down)Koshikudake (collapse)Tsukihaza (knee touch)Oshidashi (front push out)Tsukite (hand touch)Oshitaoshi (front push down)PassFailOverall Pass / Fail DefaultsHatakikomi (slap down)Hikiotoshi (hand pull down)Keiko / TrainingPassFailSonkyo (rest position)Tsukidashi (front thrust out)Shiko (leg lift)Tsukiotoshi (thrust down)Suriashi (basic movement)Chirichozu (ring entering)Uwatenage (overarm throw)Shinyaku (leg stretch)Uwatedashinage (pulling overarm throw)Koshiwari (thigh stretch)Chugoshi (proper posture)Sotogake (outside leg trip)Ukemi (how to fall)Utchigake (inside leg trip)Teppo (basic attack)Butsukari (push drill)Katasukashi (under shoulder wing down)PassFailKimedashi (arm bar force out)Overall Pass / Fail KeikoKotonage (arm lock throw)Okuridashi (rear push out)Gyoji/Referee & Shinpan/JudgePassFailShitatenage (underarm throw)Gyoji - VerbalSukuinage (beltless arm throw)Gyoji - MovementsTsuridashi (lift out)Describe Gyoji's positioning andwhat he is looking forDescribe Shinpan's positioning andwhat he is looking forUtchari (backward pivot throw)Overall Pass / Fail KimaritePassFailDescribe Shinpan-bucho's responsibilitesRemarks:PassFailOverall Pass / Fail Officials

Demonstrate each of the following:Default LossFumidashi (rear step out)Isamiashi (forward step out)Koshikudake (collapse)Tsukihaza (knee touch)For use by Nidan Promotion BoardSECTION 12 KATA / FORMS NIDAN / SANDANPass Fail1List and demostrate at least eight (8) kimarite sinceyour promotion to Shodan / Nidan.Kimarite / TechniquesPassFailTsukite (hand touch)Overall Pass / Fail DefaultsPass Fail23Keiko / TrainingSonkyo (rest position)Shiko (leg lift)Suriashi (basic movement)Chirichozu (ring entering)Shinyaku (leg stretch)Koshiwari (thigh stretch)Pass Fail 4567Chugoshi (proper posture)Ukemi (how to fall)Teppo (basic attack)Butsukari (push drill)Overall Pass / Fail KeikoPass Fail8910PassFailGyoji/Referee & Shinpan/JudgePassFailOverall Pass / Fail KimariteGyoji - VerbalGyoji - MovementsDescribe Gyoji's positioning andwhat he is looking forRemarks:Describe Shinpan's positioning andwhat he is looking forDescribe Shinpan-bucho's responsibilitesPassFailOverall Pass / Fail Officials