Affiliation Application

Name

First Name

Last Name

Phone

(###)

###

####

School Name

School Phone

(###)

###

####

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Years/Months Open

Is you Martial Arts School registered with the BBB?

Yes

Programs offered at your Martial Arts School

Number of BJJ Students

Number of Students enrolled in the School

Belt levels represented at your Martial Arts school

Is your school current part of an association?

Yes

If yes, please provide the Association name:

Head instructor of BJJ program:

Head instructor's rank:

Is the head instructor currently with an Association?

Yes

Which Association or instructor promoted the Head instructor?

Which Association or instructor is currently ranking your students?

Who are your competidors (Associations close by)?

Why are you interested in joining the Rafaello Oliveira Association?

If you're currently with an association, why do you want to change?

Please tell me a little bit of your BJJ background:

Please provide 2 references:

Selected candidates will be subjected to a criminal background check, if you wish to discuss anything related to our background check please do so here:

Affiliation Application

I’d love to show you how Martial Arts can transform your life.