IJCA Application Form

Last Name:		First Name:
Home Address:
City:		ST:
Country:
Email:
Profession:		Academic Background:
Years in Judo:		Judo Rank:
Are you currently a club coach:		Position Held:
Years as coach:		Age range of students?
Highest level athlete personally trained: Regional National International Olympic/World Championships
Are you a certified or licensed coach in your country?		Level:
Are you currently active with your National Judo Federation?		If yes, what position(s):
List any personal references (National or International Coaches only):
Are you a published author of research articles, books, etc ? If yes, please indicate some of your works:
If you consider yourself to be very knowledgeable or an expert in any aspect of Judo or athletic training, what aspect(s) would that be?
If you could change one thing about Judo competition, what would it be?
If you could change one thing about the sport of Judo, what would it be?
What general topics would you like to see the IJCA address in the future? Mark as many as you want. Exercise physiology Sport psychology Judo skill training Sport pedagogy Competition preparation Judo history Competition rule interpretation Tactics Judo for children Judo for non competing adults Sponsorship and funding for clubs How to keep more students in Judo International exchange programs between clubs Social issues of Judo training IJF policies Coach certification/licensing Other
Do you have a specific issue, idea, comment or statement you would like to see the IJCA address now?
Please follow up with email to info@judoamerica.com within 3 weeks if you have not received a reply about your application.

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