USSF DAN RANK APPLICATION - Americansumo.org

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