Application Form - Instructor Status Application

Master and Senior Instructor Status Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone*
List your martial arts experience and grades (just the highest and most relevant)*
List your nationally recognised qualifications (NCAS, Cert III+ AMACS etc most relevant)*
Applying for*

JPI - Junior Instructor - $25 with Bronze or Silver MAACPI - Practising Instructor FREE with MAACSI - Senior Instructor - $100 (or $150 non MAA)CMI - Master Instructor - $100 (or $150 non MAA)
My MAA Membership number is
My payment (Amount) will be by EFT*
JPI - Receive Certificate / ID Card & Badge (Applicants are endoresed by their Instructor to qualify).
All others instructors obtain the above plus school listing / mini website in our directory, (standard qualifcation screening applies).
PAYMENT - WESTPAC BANK
A/C Name: Martial Arts Australia
BSB: 033 135 A/C: 342 551
Should be Empty:

Master and Senior Instructor Status Application