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UNITED STATES MARTIAL

 ARTIST ASSOCIATION

Nomination Ballot for the Year of 2008

Nominations for the 2008 Hall of Fame are now closed!

All areas are required to be completed before this nomination ballot will be processed.

Insure all spelling is correct.

(Self Nominations will not be honored)

Nominator's Information

(Must Hold 1st Degree Black Belt Minimum)

Membership Status

Select Member Non-Member

Membership Number

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                            State/Country   Zip

        Telephone                                                                      E-mail Address (if available)

Required Information

Select Choice Black Brown Red Green Blue Gold Yellow Purple White Select Choice 10 9 8 7 6 5 4 3 2 1 Select Choice Degree Kyu/Gup

Belt                                Rank                             Class

Required Information

Style or Discipline of Martial Art

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#1 Nominee's Information

Membership Status

Select Member Non-Member

Membership Number

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                      State/Country    Zip

        Telephone                                                                      E-mail Address (if available)

Required Information

  Select Choice Non-Martial Artist Black Brown Red Green Blue Gold Yellow Purple White Select Choice Non-Martial Artist 10 9 8 7 6 5 4 3 2 1 Select Choice Non-Martial Artist Degree Kyu/Gup

Belt                                Rank                             Class

Approximate Age of Nominee

Required Information

Style or Discipline of Martial Art

Ballot Category Selection Required

Select Choice In Memory Of Platinum Life Achievement (Over 40 Years of Martial Arts Practice) Golden Life Achievement (31-40 years practice) Silver Life Achievement 20-30 years practice) Bronze Life Achievement (15-19 years of pracice) Supreme Grandmaster of the Year (9th & 10th Degree) Minimum Age 50 Years Old Grandmaster of the Year (8th Degree) Minimum Age 50 Years Old Supreme Master of the Year (7th Degree) Master of the Year (5th and 6th Degree) Apprentice Master of the Year (4th Degree) Instructor of the Year Associate Instructor of the Year Student of the Year Man/Woman of the Year All-Around Competitor of the Year Forms Competitor of the Year Forms Practitioner of the Year Weapons Competitor of the Year Weapons Practitioner of the Year Sparring Competitor of the Year Sparring Practitioner of the Year Self-Defense Competitor of the Year Self-Defense Practitioner of the Year One-step Competitor of the Year One-Step Practitioner of the Year Breaking competitor of the Year Breaking Practitioner of the Year Most Dedicated Martial Artist of the Year Outstanding Martial Artist of the Year Outstanding Contribution to the Martial Arts Special Contribution to the Martial Arts Parent of the Year (Martial Artist) Parent of the Year (Non-Martial Artist) Humanitarian of the Year Special Martial Arts Appreciation Special Individual Achievement Inspiration of the Year Public Servant of the Year - Law Enforcement Public Servant of the Year - Fire Fighter School of the Year

(Nominator must give a Brief justification for category "Inspiration of the year")

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#2 Nominee's Information

Membership Status

Select Member Non-Member

Membership Number

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                            State/Country      Zip

        Telephone                                                                      E-mail Address (if available)

Required Information

  Select Choice Non-Martial Artist Black Brown Red Green Blue Gold Yellow Purple White Select Choice Non-Martial Artist 10 9 8 7 6 5 4 3 2 1 Select Choice Non-Martial Artist Degree Kyu/Gup

 Belt                       Rank                    Class

Approximate Age of Nominee

Required Information

Style or Discipline of Martial Art

Ballot Category Selection Required

Select Choice In Memory Of Inspiration of the Year Platinum Life Achievement (Over 40 Years of Martial Arts Practice) Golden Life Achievement (31-40 years practice) Silver Life Achievement 20-30 years practice) Bronze Life Achievement (15-19 years of pracice) Supreme Grandmaster of the Year (9th & 10th Degree) Minimum Age 50 Years Old Grandmaster of the Year (8th Degree) Minimum Age 50 Years Old Supreme Master of the Year (7th Degree) Master of the Year (5th and 6th Degree) Apprentice Master of the Year (4th Degree) Instructor of the Year Associate Instructor of the Year Student of the Year Man/Woman of the Year All-Around Competitor of the Year Forms Competitor of the Year Forms Practitioner of the Year Weapons Competitor of the Year Weapons Practitioner of the Year Sparring Competitor of the Year Sparring Practitioner of the Year Self-Defense Competitor of the Year Self-Defense Practitioner of the Year One-step Competitor of the Year One-Step Practitioner of the Year Breaking competitor of the Year Breaking Practitioner of the Year Most Dedicated Martial Artist of the Year Outstanding Martial Artist of the Year Outstanding Contribution to the Martial Arts Special Contribution to the Martial Arts Parent of the Year (Martial Artist) Parent of the Year (Non-Martial Artist) Humanitarian of the Year Special Martial Arts Appreciation Special Individual Achievement Public Servant of the Year - Law Enforcement Public Servant of the Year - Fire Fighter School of the Year

(Nominator must give a Brief justification for category "Inspiration of the year")

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#3 Nominee's Information

Membership Status

Select Member Non-Member

Membership Number

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                        State/Country    Zip

        Telephone                                                                      E-mail Address (if available)

Required Information

  Select Choice Non-Martial Artist Black Brown Red Green Blue Gold Yellow Purple White Select Choice Non-Martial Artist 10 9 8 7 6 5 4 3 2 1 Select Choice Non-Martial Artist Degree Kyu/Gup

Belt                                Rank                             Class

Approximate Age of Nominee

Required Information

Style or Discipline of Martial Art

Ballot Category Selection Required

Select Choice In Memory Of Inspiration of the Year Platinum Life Achievement (Over 40 Years of Martial Arts Practice) Golden Life Achievement (31-40 years practice) Silver Life Achievement 20-30 years practice) Bronze Life Achievement (15-19 years of pracice) Supreme Grandmaster of the Year (9th & 10th Degree) Minimum Age 50 Years Old Grandmaster of the Year (8th Degree) Minimum Age 50 Years Old Supreme Master of the Year (7th Degree) Master of the Year (5th and 6th Degree) Apprentice Master of the Year (4th Degree) Instructor of the Year Associate Instructor of the Year Student of the Year Man/Woman of the Year All-Around Competitor of the Year Forms Competitor of the Year Forms Practitioner of the Year Weapons Competitor of the Year Weapons Practitioner of the Year Sparring Competitor of the Year Sparring Practitioner of the Year Self-Defense Competitor of the Year Self-Defense Practitioner of the Year One-step Competitor of the Year One-Step Practitioner of the Year Breaking competitor of the Year Breaking Practitioner of the Year Most Dedicated Martial Artist of the Year Outstanding Martial Artist of the Year Outstanding Contribution to the Martial Arts Special Contribution to the Martial Arts Parent of the Year (Martial Artist) Parent of the Year (Non-Martial Artist) Humanitarian of the Year Special Martial Arts Appreciation Special Individual Achievement Public Servant of the Year - Law Enforcement Public Servant of the Year - Fire Fighter School of the Year

(Nominator must give a Brief justification for category "Inspiration of the year")