EmailMe Form - PTW Referee Crew Performance Report

Date:

Field/Location

Competition *

Game #

Age Group

Referee Name

USSF Referee Grade *

Assistant Referee 1

AR1 Grade

Assistant Referee 2

AR1 Grade

2. Did the Referee crew arrive on time? *

Yes

No

If not on time please provide details - who/arrival time etc.

3. Was the referee crew dressed professionally? If no - explain. *

Yes

No

Referee Uniform/dress description if not acceptable.

5. Did the Referee or A/R work well as a crew or with assistant referees? *

Yes

No

N/A - Solo Referee Game

6. Referee Observations - Foul Recognition, Game Control, player management etc. - Recommendations

7.Assiistant Referee 1 Observation - Positioning/Restarts, Signals, Communication, Presence, etc. Recommendations

8. Assistant Referee 2 Observation - Positioning/Signals/support to Ref etc. - Recommendations

9. Overall, how would you rate the Referee's performance *

	Great	Good	Average	Fair	Poor	Not Applicable This Game
Enthusiam - Happy to be working	1	2	3	4	5	6
Demonstrated Confidence	1	2	3	4	5	6
Player Management	1	2	3	4	5	6
Use of Whistle/Strength/Tone	1	2	3	4	5	6

This game was ______ for AR1?

Difficult

Challenging

Easy

This game was ______ for the AR2?

Difficult

Challenging

Easy

This game was ______ for the referee?

Difficult

Challenging

Easy

If competition has future playoff/knock rounds of competition do you recommend these referees for playoff assignments? (Expand in General Comments as needed)

Yes

No

Not applicable based upon this game

General Comments:

Mentor Name

First Last

Date Time

MM / DD / YYYY