From: "GM. Daniel Verkerke" To: Subject: nomination form Hall of Fame 2008 Date: Wed, 23 Jan 2008 12:59:26 -0500 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_0006_01C85DBF.E5A96600" X-Priority: 3 X-MSMail-Priority: Normal X-Unsent: 1 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.2180 This is a multi-part message in MIME format. ------=_NextPart_000_0006_01C85DBF.E5A96600 Content-Type: text/plain; charset="utf-8" Content-Transfer-Encoding: quoted-printable =20 NOMINATING BALLOT Person to be nominated =20 =20 Full Name =20 =20 =20 =20 =20 Martial Arts Style =20 =20 Street address =20 =20 Address (cont.) =20 =20 City =20 =20 State/Province =20 =20 Zip/Postal code =20 =20 Country =20 =20 =20 =20 =20 Home Phone =20 =20 FAX =20 =20 E-mail =20 =20 Internet Address URL =20 =20 =20 MAIN CATEGORIES FOR NOMINATION =20 Choose one of the following categories from the column on the = right: Copy and paste in below box =20 =20 =20 JUNIOR DIVISIONS FOR THE YEAR =20 Choose one of the following categories from the column on the = right: Copy and paste in below box: =20 =20 RECOGNITION AWARDS BY INSTRUCTOR =20 Choose one of the following categories from the column on the = right: Copy and paste in below box: =20 =20 =20 a.. NOMINATION CATEGORIES (All nominations must be submitted=20 as soon as possible) Award of Excellence (awarded by Council) v Continued Excellence in Martial Arts (Specify if = grandmaster, master or sensei) v Living Legend Award (most be world renowned w/ media = attention)=20 v Council's International Man of the Year v Council's International Woman of the Year v Media Star of the Year v Rising Star Award v Historical Figure Award v Pioneer (state art or innovation) v Founder's Award (new style recognition) v Council=EF=BF=BDs Grandmaster Award*=20 v International Grandmaster Award* v Grandmaster of the Year* v Grandmaster Instructor of the Year*=20 v Platinum Life Achievement (over 50 yrs in the martial = arts) v Golden Life Achievement (over 40 yrs in the martial arts) v Silver Life Achievement (over 30 yrs in the martial arts) v Outstanding Leadership Award=20 v Regional Leadership Award=20 v Council=EF=BF=BDs Master Award v Master Instructor of the Year*=20 v National Instructor of the Year* v Regional Instructor of the Year* * Specify if "sport" or "self-defense" & style v International Achievement (state accomplishments) v National Achievement (state accomplishments) v Regional Achievement (state accomplishments) v Showmanship Award (demonstrations) v Seminar Leader Award=20 v Best Breaker v World's Outstanding Adult Male Competitor of the Year=20 v World's Outstanding Adult Female Competitor of the Year v Male Forms Competitor of the Year v Male Fighter of the Year=20 v Female Forms Competitor of the Year v Female Fighter of the Year v Style Man of the Year=20 v Style Woman of the Year v Tournament Promoter of the Year - International v Tournament Promoter of the Year - National v Tournament Promoter of the Year - Regional v Outstanding Contribution to the Martial Arts v Organization of the Year v Best Martial Arts School of the Year - International v Best Martial Arts School of the Year - National v Best Martial Arts School of the Year - Regional v Humanitarian Award v Most Innovative Training Equipment of the Year v Most Innovative Training Program of the Year v Best Professional Marketing Association v Top Martial Arts Video Award v Publication Media Award v Writer's Award v Write in category_____________________ JUNIOR DIVISIONS FOR THE YEAR a.. Junior National Forms Competitor of the Year=20 b.. Junior Regional Forms Competitor of the Year=20 c.. Junior National Fighter of the Year=20 d.. Junior Regional Fighter of the Year=20 e.. Showmanship Award (demonstrations)=20 f.. Best Breaker=20 g.. Write in category__________________=20 STUDENT RECOGNITION AWARDS=20 (Recognition - Not an induction award) =EF=BF=BD Associate Award - Outstanding Instructor* =EF=BF=BD Associate Award - Outstanding Assistant = Instructor* =EF=BF=BD Associate Award - Class contribution =EF=BF=BD Associate Award - Administration =EF=BF=BD Associate Award - Outstanding Student* =EF=BF=BD Associate Award - Outstanding Loyalty =EF=BF=BD Associate Award - Contributor=20 (Can be non-martial artist/ institution, etc.) =EF=BF=BD Write in category_____________________ * Specify if "sport" or "self-defense" & style NOTE: You may make as many of the attached nomination ballots as = you'd like - PLEASE PRINT LEGIBLY AND REMEMBER TO INCLUDE THE ZIP CODES/ = COUNTRY CODES IN ADDRESSES. IMPORTANT Your name must appear in the "Nominations submitted by" section = at the top of the ballots with an e-mail address preferably or a phone = number or fax number =20 =20 =20 Information of person submitting nomination Name =20 =20 =20 =20 =20 =20 =20 =20 Street address =20 =20 Address (cont.) =20 =20 City =20 =20 State/Province =20 =20 Zip/Postal code =20 =20 Country =20 =20 =20 =20 =20 Home Phone =20 =20 FAX =20 =20 E-mail =20 =20 =20 Nominees not restricted to members of this Council - You may make as = many of these nomination ballots as you need to write down your selections. Please return all ballots by = April 15, to:=20 WHFSC International Martial Arts Hall of Fame, 6035 Ft. Caroline Rd., Unit 22, Jacksonville, Florida U.S.A. 32277/ Fax (904) 744-4625. =20 ------=_NextPart_000_0006_01C85DBF.E5A96600 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable =EF=BB=BF

 

NOMINATING=20 BALLOT

Person to be=20 nominated

 

Full=20 Name

 

 

Martial Arts=20 Style

Street = address

Address=20 (cont.)

City

State/Province

Zip/Postal=20 code

Country

 

 

Home=20 Phone

FAX

E-mail

Internet Address=20 URL

 

MAIN = CATEGORIES=20 FOR NOMINATION

 

Choose one of the = following=20 categories from the column on the right:
Copy and paste in = below=20 box

 

 

 

JUNIOR=20 DIVISIONS FOR THE YEAR

 

Choose one of the = following=20 categories from the column on the right:
Copy and paste in = below=20 box:

 

 

RECOGNITION=20 AWARDS BY INSTRUCTOR

 

Choose one of the = following=20 categories from the column on the right:
Copy and paste in = below=20 box:

 

 

 

  • NOMINATION=20 CATEGORIES

    (All nominations must be submitted=20

    as soon = as=20 possible)

          =20 Award of Excellence = (awarded by=20 Council)

    v     =20 Continued Excellence=20 in Martial Arts (Specify if grandmaster, master or = sensei)

    v     =20 Living = Legend Award=20 (most be world renowned  w/ media attention)

    v     =20 Council's=20 International Man of the Year

    v     =20 Council's=20 International Woman of the Year

    v     =20 Media = Star of the=20 Year

    v     =20 Rising = Star=20 Award

    v     =20 Historical Figure=20 Award

    v     =20 Pioneer = (state art=20 or innovation)

    v     =20 Founder's Award (new=20 style recognition)

    v     =20 Council=EF=BF=BDs=20 Grandmaster Award*

    v     =20 International=20 Grandmaster Award*

    v     =20 Grandmaster of the=20 Year*

    v     =20 Grandmaster=20 Instructor of the Year*

    v     =20 Platinum = Life=20 Achievement (over 50 yrs in the martial arts)

    v     =20 Golden = Life=20 Achievement (over 40 yrs in the martial arts)

    v     =20 Silver = Life=20 Achievement (over 30 yrs in the martial arts)

    v     =20 Outstanding=20 Leadership Award

    v     =20 Regional =20 Leadership Award

    v     =20 Council=EF=BF=BDs Master=20 Award

    v     =20 Master = Instructor of=20 the Year*

    v     =20 National = Instructor=20 of the Year*

    v     =20 Regional = Instructor=20 of the Year*

     

    * Specify if "sport" or = "self-defense" &=20 style

     

    v     =20 International=20 Achievement (state accomplishments)

    v     =20 National = Achievement=20 (state accomplishments)

    v     =20 Regional = Achievement=20 (state accomplishments)

    v     =20 Showmanship Award=20 (demonstrations)

    v     =20 Seminar = Leader Award=20

    v     =20 Best=20 Breaker

    v     =20 World's = Outstanding=20 Adult Male Competitor of the Year

    v     =20 World's = Outstanding=20 Adult Female Competitor of the Year

    v     =20 Male = Forms=20 Competitor of the Year

    v     =20 Male = Fighter of the=20 Year

    v     =20 Female = Forms=20 Competitor of the Year

    v     =20 Female = Fighter of=20 the Year

    v     =20 Style=20 Man of the Year

    v     =20 Style = Woman of the=20 Year

    v     =20 Tournament Promoter=20 of the Year - International

    v     =20 Tournament Promoter=20 of the Year - National

    v     =20 Tournament Promoter=20 of the Year - Regional

    v     =20 Outstanding=20 Contribution to the Martial Arts

    v     =20 Organization of the=20 Year

    v     =20 Best Martial=20 Arts School of the Year - International

    v     =20 Best Martial=20 Arts School of the Year - National

    v     =20 Best Martial=20 Arts School of the Year - Regional

    v     =20 Humanitarian=20 Award

    v     =20 Most = Innovative=20 Training Equipment of the Year

    v     =20 Most = Innovative=20 Training Program of the Year

    v     =20 Best = Professional=20 Marketing Association

    v     =20 Top = Martial Arts=20 Video Award

    v     =20 Publication Media=20 Award

    v     =20 Writer's = Award

    v     =20 Write in=20 category_____________________

     

    JUNIOR = DIVISIONS FOR=20 THE YEAR

    • Junior = National=20 Forms Competitor of the Year=20
    • Junior = Regional=20 Forms Competitor of the Year=20
    • Junior = National=20 Fighter of the Year
    • Junior = Regional=20 Fighter of the Year=20
    • Showmanship Award=20 (demonstrations)=20
    • Best = Breaker
    • Write = in=20 category__________________

     

    STUDENT = RECOGNITION=20 AWARDS

      = (Recognition=20  - Not an induction award)

    =EF=BF=BD        =20 Associate Award -=20 Outstanding Instructor*

    =EF=BF=BD        =20 Associate Award -=20 Outstanding Assistant Instructor*

    =EF=BF=BD        =20 Associate Award -=20 Class contribution

    =EF=BF=BD        =20 Associate Award -=20 Administration

    =EF=BF=BD        =20 Associate Award -=20 Outstanding Student*

    =EF=BF=BD        =20 Associate Award -=20 Outstanding Loyalty

    =EF=BF=BD        =20 Associate Award -=20 Contributor

            (Can=20 be non-martial artist/ institution, etc.)

    =EF=BF=BD        =20 Write=20 in  category_____________________

     

    * = Specify if "sport" or "self-defense" = &=20 style

     

    NOTE:=20 You may make as many of the attached nomination ballots as you'd = like -=20 PLEASE PRINT LEGIBLY AND REMEMBER TO INCLUDE THE ZIP CODES/ = COUNTRY=20 CODES IN ADDRESSES.

    IMPORTANT

    Your name must appear in the = "Nominations=20 submitted by" section at the top of the ballots with an e-mail = address=20 preferably or a phone number or fax=20 number

 

 

Information = of person=20 submitting nomination

Name

 

 

 

 

Street = address

Address=20 (cont.)

City

State/Province

Zip/Postal=20 code

Country

 

 

Home=20 Phone

FAX

E-mail

  =

Nominees not = restricted=20 to members of this Council - You may make as many of these nomination = ballots=20 as

you need to = write down=20 your selections. Please return all ballots by April 15, to:=20

WHFSC = International=20 Martial Arts Hall of Fame, 6035=20 Ft.=20 Caroline

Rd., Unit 22, = Jacksonville,=20 Florida=20 U.S.A.=20 32277/

Fax (904)=20 744-4625.

 

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