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N.A.T.S.D.F. 3RD DAN BLACK BELT TESTING

CANDIDATES NAME _______________________DATE ___/___/___

ATTITUDE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ____ Total

WRITTEN TEST- Taken at studio 12345 ____ Total

QUESTION SHEET - WILL BE HANDED IN BEFORE TEST STARTS. 123456789 ____ Total

NAME OF INSTRUCTOR SCORING THIS TESTING. ____________________________________

Read from the list; spoken twice in Korean. Each move made twice.

KICKING - Spoken in Korean. Each move made twice. (must face partner.)

1:   Front kick Ahp Cha Nut Gi 1

2:   Side kick Yup Cha Gi

3:   Round-house kick Dull Ryo Cha Gi

4:   Crescent kick Phakeso Ahnuro Cha Gi

5:   Ax kick. Phakeso Ahnuro Cha Gi Striking

6:   Step behind side kick Step behind  Yup Cha Gi

7:   Spinning inside/outside kick Dwi Cha Gi Short..

8:   Jump front kick E-dan Ahp Cha Nut Gi

9:   Back kick Dwi Cha Gi

10: Spinning back kick long Dwi Cha Gi Long 10

11:  Jump round-house kick. E-dan Dull Ryo Cha Gi

12:  Jump side kick E-dan Yup Cha Gi

13:  Back side snap kick Dwi Yup Podo Cha Gi

14:  Hook kick - rear leg Hu Ri Gi

15:  Back hook kick Dwi Hu Ri Gi

16:  Jump inside/outside kick E-dan Ahneso Phakuro Cha Gi.

17:  Jump crescent kick E-dan Phakeso Ahnuro Cha Gi.

18:  Jump back kick. E-dan Dwi Cha Gi.

19:  Ground tech.  

20:  Heavy Bag Jump back kick, both legs

21:  Rolls on the mat and falls

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 ____ Total

18 Combos 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 ____ Total

Chokes W 1 2 O 1 2 G 1 2 R 1 2 ____ Total

SLEEVE GRIP 1 2 3 4  1 2 3 4  1 2 3 4  1 2 ____ Total

ALL FOUR SETS - One side does all four then the other side will go.

Two rear grabs (Students stop when done). Two side grabs 1 2 3 4 ____ Total

Ribbon 1 2 3 4 5 _____ Total

Randori - Three on one 1 2 3 4 5 _____ Total

Four push tech. 1 2 3 4 ____ Total

    Two sets of take downs 1 2 3 1 2 3 4 ____ Total

    Five knife defenses. 1 2 3 4 5 ____ Total

    Five Bong 12345 _____ Total

FORMS: Three or less students at a time, all forms then they sit down.

1: Pyung Ahn E Dan, 2: Lo Hi Hyung, 3: Nai Han Ji Sam Dan,

4: Chil Sung Sa Ro

1: 1 2 3 4 5 2: 1 2 3 4 5 3: 1 2 3 4 5 4: 1 2 3 4 5 ____ Total

Terminology

1: Phakuro Ahnuro cha gi ha dan soo do mahkee, turo choonh dan kong kyuck.

2: Ha dan mahkee, turo yuk soo kong kyuck, E-dan dollyo cha gi, turo choong dan kong kyuck.

                                              1 2 ____ Total

 WEAPONS FORM: One at a time. 1 2 3 4 5 ____ Total

           Weapons Demo. 1 2 3 4 5 ____ Total

BREAKING - 10 breaks 5 hand 5 foot (Adults two boards each break) One hand break must be a three board break within the form Lo Hi = 3 boards).

                                           12345678910 ____ Total

HISTORY 1 2 3 4 5 ____ Total

Anthony Robins Questions

ENDURANCE - 30sec. Kicking one foot, 30sec. Kicking next foot.

1 2 3 4 5 6 7 8 9 10 ____ Total

CLOSING REMARKS

                                                                                                           TOTAL ___________________

Divide by: 187

(100-90 % NO RETEST)( 89- 85 % 1 MO.)( 84-80 % 2 MO.)( 79-75 % 3 MO.)( UNDER 75 % 6 MO.)