District Partner Assessment Form

Name First Last Address Street City State Zi City State p Zip Code Phone Primary Phone Email Primary Email Current Contest Rating Rating Date Date of Game Home Team Home Away Team Away Site: Location of Game Level of Play Game Level Quality Quality Partner 1 First Last Rating Partner Rating Partner 2 First Last Rating Partner Rating Professionalism, Responsibility and Ethics Ye Inconsisten N s t o 1. Arrived on time, professionally dressed and mentally prepared to officiate? ☐ ☐ ☐ 2. Completed all pre-game duties with the officiating team? ☐ ☐ ☐ 3. Was an active participant in pre-game conversation with the officiating team? ☐ ☐ ☐ 4. Refrained from inappropriate fraternization with coaches, players, team personnel, ☐ ☐ ☐ and spectators? 5. Do you consider this official by his/her professionalism, ethics and integrity to be a ☐ ☐ ☐ role model to other officials? Positioning, Field Coverage and Fitness 1. Maintains the “umpiring triangle positioning.” ☐ ☐ ☐ 2. Positions to cover boundary for which responsible. ☐ ☐ ☐ A/B Lead Positioning 3. Positions below the goal line as play dictates and as necessary to cover the end line ☐ ☐ ☐ boundary. 4. Maintains correct tangent positioning and quadrant positioning in the A Lead ☐ ☐ ☐ position. 5. Maintains correct tangent positioning and quadrant positioning in the B Lead ☐ ☐ ☐ position. A/B Trail Positioning 6. Adjusts position right or left (lateral movement) as play and area of responsibility ☐ ☐ ☐ dictate. 7. Demonstrates appropriate focus on “off ball.” ☐ ☐ ☐ C Positioning 8. Moves Laterally as play dictates (not too far to middle & wide enough to see ☐ ☐ ☐ shooting space). 9. Positions to be a presence in the CSA; to assist Lead during play and penalty ☐ ☐ ☐ administration. Physical Fitness and Movement Skills 10.Demonstrates ability to recover from a fast break, turnover, or from being out of ☐ ☐ ☐ position. 11.Demonstrates ability to be in position to make the call ☐ ☐ ☐ Positioning, Field Coverage and Fitness Consider: Lead A/B, Trail A/B and C Positioning; Mental Focus/Physical Conditioning/Field Coverage Positives Challenges Click here to enter text. Click here to enter text.

Knowledge and Judgment Consider: Application of Knowledge; Call/No Call; Advantage/Held Whistle, Slow Whistle, Dangerous Play Positives Challenges Click here to enter text. Click here to enter text.

Game Management; Penalty Administration; Mechanics Consider: Management of players on the field/bench/table; properly done/efficient/effective; Signals/Whistle/Voice Positives Challenges Click here to enter text. Click here to enter text.

Comportment; Communication; Teamwork Consider: Respect for all; Supportive; Professional, calm, unobtrusive demeanor; Effective use of all communication skills Positives Challenges Click here to enter text. Click here to enter text.

Raters Ratin Dat Name First Last g Rating e Date Raters Recommendation for Rating Candidate