11435 A Palmetto Park Rd.
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N.A.T.S.D.F. 4Th 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.

6. 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. Ha Dan Mahkee

Low Block

2. Sang Dan Mahkee

High Block

3. Chungul Sang Soo Ahneso Phakuro Mahkee

Front Stance, Two-handed Inside/Outside Block

4. When Jin Kong Kyuck

Side Punch

5. Choong Dan Soo Do Mahkee

Center Soo Do Block

6. Ha Dan Mahkee, Turo Sang Dan Kong Kyuck

Low Block, Reverse High Punch

7. Sang Dan Mahkee, Turo Choong Dan Kong Kyuck

High Block, Reverse Center Punch

8. Ahp Cha Nut Gi, Turo Choong Dan Kong Kyuck

Front Snap Kick, Reverse Center Punch

9. Ahneso Phakuro Cha Gi, Turo Choong Dan Kong Kyuck

Inside outside kick, Reverse Center Punch

10. Phakeso Ahnuro Cha Gi, Yup Podo Cha Gi, Turo Choong Dan Kong Kyuck

Crescent kick, Side kick, Reverse Center Punch

11. Ha Dan Mahkee, Turo Sang Dan Mahkee, Choong Dan Kong Kyuck

Low Block, Reverse High Block, Center Punch

12. Choong dan soo do mahkee, turo kwan soo kong kyuck.

       13. Ahneso Phakuro mahkee, turo ahneso phakuro mahkee, choong  dan kong             kyuck.

14. Ha dan mahkee, turo sang dan mahkee, when jin kong kyuck.

15. Ahp cha nut gi, ha dan mahkee, turo song dan kong kyuck.

16. Dollya cha gi, cap kwon kong kyuck, turo choong dan kong kyuck.

17. Ha dan mahkee, turo soo do kong kyuck, moo roop cha gi, turo choong            dan kong kyuck.

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

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

___________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 (Adult two boards each break) To done as a demo with stations, continuous motion.                                                                                                        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: 204

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