I have read and agree to follow the Nominations Guidelines listed above. (Nominations that do not follow the above guidelines may be disregarded by the Board) *
Required
Name of Person being Nominated *
Your answer
Nominee's current mailing address (Street, City, State, Zip) *
Your answer
Nominee's Dojo Name *
Your answer
Nominee's Rank *
Your answer
Nominee's Instructor's Name *
Your answer
Nominee's Years in Isshinryu *
Your answer
Nominee's Webpage/Biography (if available)
Your answer
Nominee's Email Address (if available)
Your answer
Nominee's Contribution to Isshinryu (200 Words or Less) *
Your answer
Nominee's Travel & Teaching Experience (200 Words or Less) *
Your answer
Your Name *
Your answer
Your mobile (or best contact) phone number *
Your answer
A copy of your responses will be emailed to the address you provided.