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Print this 1-page form, fill out and put in the Referee-In-Chief box

SCSHA Referee Evaluation

Game date & time: _______________ Arena: _______________

Team Name & Assoc. __________________________________

Level (i.e. PeeWee AA, etc) __________Opponent: __________

Type of game:  Difficult(  )       Rough(  )      Average(  )       Easy(  )      Close(  )

Additional Comments ______________________________________________
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Signature:_____________________

Use reverse side for additional comments if needed

Fill in officials names and complete numbered evaluations below each name,
Circle ratings below each officials names 1 = lowest, 5 = highest or best
  Referee 1 Referee 2 or
Linesman
Linesman
Official's  Name      
Appearance 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Attitude   1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Composure  1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Positioning 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Signals 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Face offs 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Skating ability 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Awareness 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Rule Application 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5
Game Control 1  2  3  4  5 1  2  3  4  5 1  2  3  4  5