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 Name
Last Name
Team
*
Grade Age and Division
*
Date of Coaching
*
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/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
*
Submit
Should be Empty: