LETTER OF RECOMMENDATION TO THE

KARATE INSTRUCTOR PROGRAM

Date: ________________ Student Name: ________________________________________________

Address: __________________________________________________________________________

On the base of your personal knowledge of the applicant would you rate by placing an X in the

appropriate place (box) in the below listed criteria for admission to the Dr. Stricevic's Karate Instructor Program using the

following Rating Code criteria:

5 = Superior, 4 = Very Good, 3 = Average, 2 = Need Improvement and 1 = No Base for Judgment

Address: __________________________________________________________________________

------ I do recommend the above named candidate for acceptance to the Dr. Stricevic's Karate Instructor Program

------- I do not recommend the above named candidate for acceptance to the Dr. Stricevic's Karate Instructor Program

Please send completed form to:

Scientific Karate Inc.

3519 Quentin Road

Brooklyn, New York, 11234. USA