NSWRU Referee Feedback Form

1
Date of Match* This field is required.
Date
Day
Month
Year
2
Home Team* This field is required.
3
Away Team
4
Age of teams* This field is required.
Senior
Colts
U19
U18
U17
U16
U15
U14
U13
U12
U11
U10
U9
U8
U7
U6
5
Grade
Other
Other
1st
2nd
3rd
4th
5th
A
B
C
D
E
F
G
H
I
6
Competition* This field is required.
CAS
Central Coast
Central North
Central West
CHS
Far North Coast
GPS
Illawarra
ISA
Mid North Coast
New England
Newcastle/Hunter
NSW Suburban
Other School Comp
Representative
Sydney Junior
Sydney Premier
Western Plains
7
Name of appointed referee (if known)
8
Are you completing this report for a referee no-show?* This field is required.
Yes
No
9
Who did referee the game?
First Name
Last Name
10
The criteria used to assess a referee is the Rugby AU Referee Profile. That is:

1) Decision making - in accordance with the Game Management Guidelines (https://www.rugbyau.com/participate/referee/laws). Particular focus on tackle, scrum, lineout to maul, space (offside) and foul play.

2) Game connection - reads game context and adapts appropriately, credible - earns respect through logical decision making, gets what matters (relevant vs technical decisions), identifies trends and intervenes appropriately to change behaviour.

3) Game Management - effective presence (positioning and communication), effective captain management, does not compromise standards in pressure situations.

4) Personal attributes - fit enough for the game, prepared, works well with assistant referees, respects and is respected by game participants, growth mindset.

Please consider these criteria when rating the referee below.
11
Rating against the Referee Profile
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Decision Making
Game Connection
Game Management
Personal Attributes
Decision Making
Game Connection
Game Management
Personal Attributes
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Excellent
Good
Satisfactory
Poor
Unsatisfactory
1 of 4
12
Rating against key aspects of the Referee's role
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Safety focus (dealt with foul play. Prevented/dealt with unsafe practices where possible)
Fun (educated players. Allowed the game to flow)
Fair (applied the Law & Game Management Guidelines. Managed infringements appropriately)
Safety focus (dealt with foul play. Prevented/dealt with unsafe practices where possible)
Fun (educated players. Allowed the game to flow)
Fair (applied the Law & Game Management Guidelines. Managed infringements appropriately)
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Excellent
Good
Satisfactory
Poor
Unsatisfactory
Excellent
Good
Satisfactory
Poor
Unsatisfactory
1 of 3
13
If you had a pre-game discussion with the referee, what was discussed? How useful was this discussion in building rapport or clarifying potential issues prior to the game?
14
If you had a post-game discussion with the referee, what was discussed? How did the referee respond?
15
Overall comment on referee performance
If you have a video and wish to reference specific incidents, please include the time stamp and a link to the video.
16
Name of person making report* This field is required.
First Name
Last Name
17
E-mail of person making report* This field is required.
18
Phone Number of person making report
Area Code
Phone Number
19
Tags
Todo
In Progress
Done
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