ATERU WORLDWIDE ASSOCIATION

ATERU WORLDWIDE ASSOCIATION
900 Bright Road Findlay, Ohio USA 45840

These beautiful hand stamped diplomas will look fantastic in your Dojo, home or office. Please

be sure to send a photo copies of your current credentials. We will not grant associate rank

without reasonable forms of verification as to your current rank, who you trained with and the

disciplines you have trained in. Also include a chronology of your time in, chief instructors names

and return address informationAnyone wishing to obtain non-associate and/or REGISTERED

RANK from AWA, please contact our chairman directly and he will arrangefor you to test

under an examination board made up of AWA high ranking membership. This testing process

does not guarantee a passing grade and no monies will be refunded to the applicant once the

testing has begun. So please be ready in every way!

Associate KYU & DAN Rank Diploma Request Form

Full Name:________________________________Date:____________

Address:_________________________________ Current Rank:______________

State/Province:______________ Postal Code:__________ Phone:___________________

Country:___________________ Email:_______________________________

Amount paid today:_________________ (All funds to be paid in US dollars)

Below black belt ranks ($40.00 US Money Order – add $10.00 US for Non-US shipping)
1^st and 2^nd Black Belt Ranks ($100 US Money Order - add $10.00 US for Non-US shipping)
3^rd thru 5^th add $100 per level (i.e. 3^rd = $200 US, 4^th = $300 US , 5^th = $400 US Money Order - add $10.00 US for Non-US shipping)
6^th = $500.00 , 7^th= $600.00 , 8^th & 9^th 700.00 , 10^th $900.00 US Money Order - add $10.00 US for Non-US shipping
TEACHING CREDENTIALS

(Teaching credentials are only obtainable through teaching level merited by on site evaluation and evaluation of chronicles or written thesis and/or

writings. Please contact Huunjin to arrange for his travel and evaluation process to occur)

In applying for Ateru Worldwide Association Rank Diplomas I state by signing this that my current rank is verifiable and

that I will send copies of my current rank certificates and lineage by email, fax or mail to Ateru Worldwide Association

so that they may keep my documents on file as a record of the legitimacy of my current rank. In doing so, Ateru Worldwide

Association makes no claims to my rank but instead offers an associate rank diploma of the same rank level and

recognizes my current level as having been proved legitimate by my actions and documentation. The attached

documentation will also list the chronology of my training in the arts and it too will be on file. I realize that I must first

become an active member of AWA before I may apply for rank and/or apply for both at the same time.

Please Make money order Payable to: Ateru Worldwide Association

Signed___________________________________Date_________________________

-------------------------------For AWA Headquarters Use Only-----------------------------------------------------

Date Recorded________________ Rank Diploma# and Rank Level:___________________________

Teaching Credentials:_______