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Referees - Mentorship Form
Step
1
of
2
50%
Name
*
First
Last
Date
*
MM slash DD slash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Age Group
*
U10
U11
U12
U13
U14
U15
U16
U17
U18
Current Qualification Level
Entry
Youth
District
Regional
Competition
*
Male
Female
Match
*
eg. Red vs Blue U12 Girls Div 2
Location
*
Match Type
*
Outdoors
Indoor/Dome
Futsol
Referee's Email Address
Enter Email
Confirm Email
Permission granted to video record this match?
*
Yes
No
Were headsets offered?
*
Yes
No
Were headsets used?
*
Yes
No
Mentor Action Items: Select the appropriate number.
1 = Below Expectations
2 = Meets Expectations
3 = Above Expectations
4 = Well Above Expectations
Aspect 1: Professionalism
On Time
*
1
2
3
4
na
Comments
Appearance (uniform, crest, watch, etc.)
*
1
2
3
4
na
Comments
Perparation (Pre Game Routine, field/equipment checks, knows league rules, etc.)
*
1
2
3
4
na
Comments
Body Language
*
1
2
3
4
na
Comments
Aspect 2: Signals and Whistles
Mechanics (fingers together, thumb tucked in, arm straight, angle of signal, etc.)
*
1
2
3
4
na
Comments
Appropriateness (correct signal done correctly and held long enough.)
*
1
2
3
4
na
Comments
Timing (was a signal needed? Was it done at the right time?)
*
1
2
3
4
na
Comments
Use of whistle (loud enough, long enough, no extra whistles.)
*
1
2
3
4
na
Comments
Aspect 3: Control of the Game
Recognition of fouls (kicks, trips, pushes, handballs, etc.)
*
1
2
3
4
na
Comments
Recognition of elbows or tackles that endanger the safety of an opponent
*
1
2
3
4
na
Comments
Management of injuries
*
1
2
3
4
na
Comments
Aspect 4: Positioning and Movement
Variety of movement during active play (backwards, lateral)
*
1
2
3
4
na
Comments
Position during set plays (DFK, IDFK, GK, CK, KO)
*
1
2
3
4
na
Comments
Physical Fitness and speed
*
1
2
3
4
na
Comments
Angle of view
*
1
2
3
4
na
Comments
Proximity to the play (7 or 16 yds.)
*
1
2
3
4
na
Comments
Aspect 5: Attitude, Rapport & Communication
Relationship with players and coaches (proper respect, strong/clear tone.)
*
1
2
3
4
na
Comments
Reaction to mentorship feedback
*
1
2
3
4
na
Comments
Aspect 6: Procedures
Coin Toss (Question: What direction would you like to attack?)
*
1
2
3
4
na
Comments
Kick Off
*
1
2
3
4
na
Comments
Throw-ins (proper technique, infringemnet recognition.)
*
1
2
3
4
na
Comments
Substitutions
*
1
2
3
4
na
Comments
Aspect 7: Reaction Under Pressure
No overreactions, remains calm
*
1
2
3
4
na
Comments
Demonstration of courage (sticks with decision)
*
1
2
3
4
na
Comments
Ability to take charge (stops play and calls player over to discuss)
*
1
2
3
4
na
Comments
Flow of the game
*
1
2
3
4
na
Comments
Final Thoughts
Keep observations here to a minimum. Please indicate the aspect before comments:
Mentor
*
First
Last
Signature
*
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Documents
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Staff & Contacts
Players
Where to play?
Team NB
Team NB Tryouts
Winter Program
Spring Program
Online Program
Raffle Draw
Camps
Talent Camps
Academy of Excellence
Excel Skills Camps
Regional ID Camp
Goalkeeper Academy
High Performance Academy
Events and Programs
Live Your Deams
Pro Am Challenge
Kick For Diabetes
Futsal Program
Beach Soccer
Power Soccer
Practice Sessions
Power Soccer Volunteers
Canada Games
LTPD Resources
Coaches
Become a Coach
Coaches Education
Coaches Academy
Grassroots Coaching GPS
Community Stream
Licensing Stream
Referees
Becoming a Referee
Resources
Clinics
Bad Weather Policy
Contacts
Competitions
Leagues
NB Premier Soccer League
NB Soccer League
Recreational Leagues
Tournaments
Academy Challenge Tour
Futsal Cup
Spring Kick Off
Indoor Provincials
Provincials
Atlantics
Nationals
Member Services
Members
Funding Opportunities
Club Qualification
Sport NB
Membership Guidelines
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