CBYSA REFEREE MENTORING FEEDBACK FORM

REFEREE NAME: (referee being mentored)

REFEREE GRADE: (new referees are grade 8)

LEVEL OF COMPETITION:
Under 8

Under 10

Under 12

Under 14

Under 16



GENDER:
BOYS

GIRLS



DATE:

LOCATION OF MATCH: (field number)

TIME OF GAME:

HOME TEAM:

VISITING TEAM:



CHECK A BOX FOR EACH ITEM BELOW THAT APPLIES TO THE REFEREE. ADD A COMMENT OR LEAVE BLANK.

ARRIVED ON TIME: (15 minutes before kick off)

COMMENTS ON TIME OF ARRIVAL:

Excellent

Above Average

Average

Needs Improvement




DRESS AND APPEARANCE: (neatness, manner, confidence)

COMMENTS ON DRESS AND APPEARANCE:

Excellent

Above Average

Average

Needs Improvement




PRE-GAME: (field and goals checked for safety, checked player passes)

COMMENTS ON PRE-GAME:

Excellent

Above Average

Average

Needs Improvement




FITNESS: (speed, acceleration, endurance)

COMMENTS ON FITNESS:

Excellent

Above Average

Average

Needs Improvement




ATTITUDE: (enthusiastic, prepared, confident, respectful)

COMMENTS ON ATTITUDE:

Excellent

Above Average

Average

Needs Improvement




COURAGE/CHARACTER/CONSISTENCY: (prompt consistent decisions, composed, approachable, dealt with dissent)

COMMENTS ON COURAGE/CHARACTER/CONSISTENCY:

Excellent

Above Average

Average

Needs Improvement




POSITIONING/MECHANICS/SIGNALS: (set-plays, dynamic play, off ball activity)

COMMENTS ON POSITIONING/MECHANICS/SIGNALS:

Excellent

Above Average

Average

Needs Improvement




TIMING: (started game on time, timed quarters/halves appropriately)

COMMENTS ON TIMING:

Excellent

Above Average

Average

Needs Improvement




ACCURACY OF DECISIONS: recognized hard, fair play versus foul play, under or over reaction in issuing cards)

COMMENTS ON ACCURACY OF DECISIONS:

Excellent

Above Average

Average

Needs Improvement




GAME CONTROL: (used AR's & authority properly, managed players & restarts, recognized & dealt with fouls/misconduct)

COMMENTS ON GAME CONTROL:

Excellent

Above Average

Average

Needs Improvement




OVERALL PERFORMANCE:

COMMENTS ON OVERALL PERFORMANCE:

Excellent

Above Average

Average

Needs Improvement





Areas of Proficiency:


Skills to Develop or Enhance:


WOULD YOU LIKE A COPY OF THIS REPORT EMAILED BACK TO YOU?

Yes

No



Mentors Name:



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