NLEA Provincial Officials: Mentoring Form

NLEA Provincial Officials: Mentoring Form

To be completed by supervising (i.e. mentor/shadower) officiant before or at the time of applicant (i.e. mentoree/shadowee) submission. Please submit one form per applicant.
Section 1: Applicant Information
Applicant Name*

First NameLast Name
Applicant NLEA #*
Applicant Email*
example@example.com
JudgeSteward
Section 2: Officiant Information
Officiant Name*

First NameLast Name
Officiant NLEA/PTSO/Organization #*
Officiant Email*
example@example.com
Equestrian Canada officialPTSO certified officialNLEA provincial officialDiscipline and/or Breed Specific official
If non-NLEA member, please state PTSO/organization:
Section 3: Competition Information

NLEA sanctioned competitions only
Competition Name*
Competition Location*
e.g. City/town, region
General PerformanceDiscipline Specific
Total # Horse/Rider Combinations*
Please estimate if unknown.
Competition Date(s)*
Total Hours Officiating*
Total Hours with Applicant*
Section 4: Questionnaire
1. Did you feel that the Candidate conducted him/herself in a professional manner?
Yes   No*

2. Did the candidate show the ability to evaluate soundness for competition purposes?
Yes   No*

3. Did the candidate show impartiality in rendering decisions?
Yes   No*

4. Did the candidate have the proper judicial temperament to adjudicate?
Yes   No*

5. Did the candidate show a sound understanding of the applicable rules for the show?
Yes   No*

6. Was the candidate organized and timely in their judging/stewarding decisions?
Yes   No*

7. Is the candidate ready to receive certification or is more mentoring required?
Yes   More mentoring required*
If "Yes" was NOT selected for any question, please state reason.*
If "Yes" selected for all questions, please enter "n/a".
Section 5: Signature
Signature of Officiant*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

NLEA Provincial Officials: Mentoring Form

Section 1: Applicant Information

Section 2: Officiant Information

Section 3: Competition Information

Section 4: Questionnaire

Section 5: Signature