District Partner Assessment Form

Name / First / Last
Address / Street
City / City / State / State / Zip / Zip Code
Phone / Primary Phone / Email / Primary Email
Current Rating / Rating / Contest Date / Date of Game
Home Team / Home / Away Team / Away
Site: / Location of Game
Level of Play / Level / Game Quality / Quality
Partner 1 / First / Last / Rating / Partner Rating
Partner 2 / First / Last / Rating / Partner Rating

Professionalism, Responsibility and Ethics

/ Yes / Inconsistent / No
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
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Knowledge and Judgment

Consider: Application of Knowledge; Call/No Call; Advantage/Held Whistle, Slow Whistle, Dangerous Play

Positives / Challenges
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Game Management; Penalty Administration; Mechanics

Consider: Management of players on the field/bench/table; properly done/efficient/effective; Signals/Whistle/Voice

Positives / Challenges
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Comportment; Communication; Teamwork

Consider: Respect for all; Supportive; Professional, calm, unobtrusive demeanor; Effective use of all communication skills

Positives / Challenges
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Raters Name / First / Last / Rating / Rating / Date / Date
Raters Recommendation for Candidate / Rating