NATIONAL OFFICIALS EVALUATION WORKSHEET

.

NAME OF MEET:QM#: DATE:

EVALUATED OFFICIAL:USA S #: , LSC:

Levels / S&T / CJ / Str / Ref / Ad Ref
LSC
N2
N3

email:

Current Certifications:

POSITIONS EVALUATED:

for Re-certification (check all evaluated positions):

Stroke & Turn Judge, Chief Judge, Starter, Deck Referee, Admin. Referee

for Advancement (check no more than one position – use a second form for another position):

Stroke & Turn Judge, Chief Judge, Starter, Deck Referee, Admin. Referee

COMMENTS ON PERFORMANCE:

(Include # of sessions, and, if applicable, # of starts.Be objective, forthright and honest in the evaluations.)

Number of evaluated sessions:, No. of Starts (if applicable):

Evaluation Comments:

The above Commentswere, were not, discussed with the official.

RECOMMENDATIONS:

Re-certification:

Recertify at current level:S&T, CJ, Starter, Deck Ref, Admin Ref.

Does not meet standard for:S&T, CJ, Starter, Deck Ref, Admin Ref. Improvement and

re-evaluation required before re-certification in this (these) position(s).

Advancement:

Needs additional experience at the local, N2, N3 level, before being considered for advancement.

Ready to Advance to N2.

Ready to Advance to N3 Stroke & Turn Judge.

N3 Initial Evaluation – recommended for FINAL.N3 FINAL Evaluation – Advancement recommended.

Additional Recommendations:Check this box if a copy of this form WAS given to the candidate.

Name of Evaluator: / LSC:
Phone: / e-mail:

All evaluations must be entered into the OTS. This form is for evaluator use during the meet if desired and a copy may be given to the candidate. All candidates will receive an email summary of your evaluation and the result. They will also eventually have access to the detailed report, once entered. If you have internet access and a printer at the meet you may also print a copy of the evaluation report from the OTS and give it to the candidate.

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