USAT-MAC :: MAC Leader Profile

MAC Leader Profile

Information for MAC National Website

Notes:

1. The purpose of this form is to provide an easy way for our esteemed Taekwondo Leaders to provide information about themselves and their schools.

2. The intent is provide both RECOGNITION and PROMOTION. This area of the website will be a major vehicle for connecting all the MAC Member schools in the country; and it will be an inspirational/motivational area for students.

3. There are no "required" fields on this form.

4. Do not provide any information you don't want to be public.

5. Information you provide may be published on MAC's National website

(www.usat-mac.us)

Last Name

First Name

Middle Name or Initial

Date, Place, and Event at which you were inducted as a Commissioner

Current MAC Position(s) - Check all that apply

Member Board of Directors Officer of the Corporation Regional Director Council Chairperson Council Member Member of Advisory Council State President

Title of your MAC Position

Your Personal MISSION STATEMENT or words of inspiration to your students.

Preferred Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Preferred Phone #

- Area Code Phone Number

Preferred Email

City & Country of Birth

Date of Birth

Month Day Year

Dan Rank

Dan Certifying Organization(s)

Kukkiwon Dan # or NA

Name of Taekwondo School

School Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School Phone

- Area Code Phone Number

School Web Site (www. ____)

Please Name and Describe your Core Program (e.g., Traditional Taekwondo)

In addition to your Core Program, what other programs does your school offer (e.g., Cardio Kickboxing, etc.)

Please Upload an ID Photo

Please Upload Your Resume

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