Referee Self Evaluation Form

Referee Personal Evaluation Form

To be completed by the referee and offered as a guide to their individual performance on the game. This is not a formal report and is shared only with the Technical Consultant - Referees
Name of Referee *

First NameLast Name
Team*
Grade Age and Division*
Date of Coaching*

DayMonthYear
Date
Hour MinutesAM/PM Option
Location (Field)*

Positing*

	Not Applicable	Developing	Expected	Advanced
Speed
Stamina
Agility/Mobility
Proximity
Angled View
Critical areas (Penalty and Technical Areas)
Anticipation (Next Phase of Play)

Movement around the field (fitness)*

	Not Applicable	Developing	Expected	Advanced
General Positioning - Angle - Proximity
Set Play Positioning
Stamina/Speed - Meet demands of Game
Anticipation

Game Management*

	Not Applicable	Developing	Expected	Advanced
Effective Communication
Dealing with Confrontation
Match Facilitation
Foul Recognition
Application of Advantage
Sanctioning
Arm Signals

Personal*

	Not Applicable	Developing	Expected	Advanced
Confidence
Courage (Major Decisions)
Concentration
Calm under Pressure
Personality

I would rate my performance as on this game as:*

	Not Applicable	Developing	Expected	Advanced
Overall

What I did Well in this game.*
Points to Try in my next Game*
Should be Empty: