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CFIHOA Evaluation Form
Evaluator's Name
*
First
Last
Official's Name
*
First
Last
Game Time
*
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Official's Position
*
Please select
Referee 2-man
Referee 3-man
Linesman 3-man
Referee 4-man
Linesman 4-man
Game Location
*
Please select
ISF
AHCI
Ellenton
TBSA
CIA
Game League
*
Please select
Rec
SAHOF/Travel
Adult
HS
Game Level
*
Please select
SQ-R
PW-R
Bant/Midg-R
SQ A
SQ AA
PW A
PW AA
BANT A
BANT AA
U16 A
U16 AA
U18 A
U18 AA
FALL HS
SPRING HS
A-AD
B-AD
C-AD
D-AD
Beg-AD
35+-AD
50+ - AD
Awareness
*
 
Poor
1
2
3
4
5
 
Excellent
Awareness Notes
*
Communication
*
 
Poor
1
2
3
4
5
 
Excellent
Communication Notes
*
Face-offs
*
 
Poor
1
2
3
4
5
 
Excellent
Face-Off Notes
*
Judgement
*
 
Poor
1
2
3
4
5
 
Excellent
Judgement Notes
*
On-Ice Appearance
*
 
Poor
1
2
3
4
5
 
Excellent
On-Ice Appearance Notes
*
Signals
*
 
Poor
1
2
3
4
5
 
Excellent
Signals Notes
*
Positioning
*
 
Poor
1
2
3
4
5
 
Excellent
Positioning Notes
*
Skating - Forwards
*
 
Poor
1
2
3
4
5
 
Excellent
Skating - Backwards
*
 
Poor
1
2
3
4
5
 
Excellent
Skating - Turns/Pivots
*
 
Poor
1
2
3
4
5
 
Excellent
Skating - Stops/Starts
*
 
Poor
1
2
3
4
5
 
Excellent
Overall Skating Notes
*
Was a Meeting Held?
*
Please select
Before the game
After the game
Both before and after
No meeting held
Evaluation Status
*
Announced
Unannounced
Please select wether this evaluation was announced or unannounced to the person being evaluated.
Evaluation Summary/Comments
*
File Upload
If you completed a USA Hockey or CFIHOA Evaluation form on paper, you can submit it here as well.