2020 Affiliation Form (update)
2020 Affiliation Form (Update)
email to: firstname.lastname@example.org or fskahouston@gmail if you DO NOT GET a reply in 7 days.
Affiliation “Manual” Form for those having trouble accessing the Google Document form. Email application to email@example.com
FSKA-World Affiliation Application
*FSKA-World affiliates head instructors with their dojos. All black belt students training at your dojo will fall under your affiliation. If you have students that have their own dojos, they will need to apply for affiliation for their dojos should they choose to do so.
Please answer the following questions as completely as possible:
1) Email address *
2) Name of Applicant: *
3) Shotokan Rank: *
4) Date of last rank mm/dd/yyyy: *
5) Age: *
6) Dojo Name *
7) Street Address: *
Postal/Zip Code: *
8) is your preferred mailing address different than your dojo address? *
9) Name addressed on postage: (your name most likely)
10) Dojo phone number:
11) Cell/Mobile phone number:
13) Social media (Facebook, Twitter, etc.)
14) How many dojos/programs do you personally operate? *
15) How many students do you have currently training? *
16) Do you teach karate full-time, or part-time? *
17) List your other occupation if you have one. If you have no other occupation, put “N/A.” *
18) How many years have you actively trained in martial arts? *
19) Please list the styles you have trained in, along with the number of years you trained in each style: *
20) Name your past instructors *
21) List past and/or current affiliations along with the number of years you were involved with them (ex.: JKA 22yrs) *
22) List any special training or awards you would like us to consider.
23) Upload photo of you in your gi:
24) Upload a pic of your current rank certificate:
25) How far is your dojo from the nearest international airport?