Black Collar Testing ApplicationStep 1 of 333%I am applying for the Certified Instructor Program.(Required)Level ILevel IILevel IIILevel 1 is our first level of instructor. The is a minimum of 10 years teaching experience required before you are eligible to apply for the next level.Application Date(Required) MM slash DD slash YYYY Name of Student(Required) First Last Please enter your name as you would like us to show it on your certificate.Email(Required) Enter Email Confirm Email Your exams will be sent to this email address.Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneAge(Required)Please enter a number from 18 to 90.Date of Birth(Required) MM slash DD slash YYYY Gender(Required)MaleFemaleWhat is your marital status?(Required)SingleMarriedSelect your Occupation(Required)Full Time StudentPart Time StudentWork Full TimeWork Part TimeName of College or UniversityOccupationEnter a description of the work you do.Current Rank in CTF Taekwondo(Required)Do you presently teach Taekwondo?(Required) Yes NoWhere do you teach?Average Number of Hours you teach each weekDo you presently own and operate a commercial Taekwondo school??(Required) Yes NoName of SchoolDo you presently work at a commercial Taekwondo School owned by someone else??(Required) Yes NoWhere is your club or course taught?Do you presently own and operate a Taekwondo Club or teach a course at someone else's facility?(Required) Yes NoName of SchoolHow long have you taught this club or course?How many classes per week?Average number of studentsDo you plan to start a Taekwondo Club or teach a course at someone else's facility in the future?(Required) Yes NoDo you plan to own and operate your own commercial Taekwondo school in the future?(Required) Yes NoHas your instructor approved this application to test?(Required) Yes NoName of your Instructor(Required)Have you ever been convicted of a felony?(Required) Yes NoHave you ever been ACCUSED of Sexual Misconduct?(Required) Yes NoPlease describe the accusation and its resolution.Have your been denied membership in any other martial arts organization?(Required) Yes NoPlease describe the circumstances relating to any denial or expulsion of membership in any other martial arts organization.Do you give the CTF permission to do a background check?(Required) Yes NoYou will receive an email from Integrity Background Checks requesting information necessary to complete your background check.I agree and accept the terms and conditions of the CTF Policy and Ethics Manual, CTF School Owner's Manual, CTF Instructor's Manual and all provisions contained therein.(Required) Yes NoPlease send me a copy of the following Manuals. CTF Policy and Ethics Manual CTF School Owner's Manual CTF Instructors Manual All 3 ManualsI have attached copies of the following documents.(Required) Current First Aid Certification Current CPR Certificate Teaching Experience LogSelect AllFile Drop files here or Select filesMax. file size: 256 MB.Total Credit Card(Required)
