EMSA NORTH Grade Your Referee Form

Welcome to the EMSA North Referee Form.

If you have a complaint about a referee or linesman,

simply fill in the information below and click submit.

Once filled out, our Referee Coordinator will receive the form and will contact you for further information, required.

Please note, if you are unwilling to put your name on the complaint then we will NOT accept it.

WE WILL ONLY ACCEPT COMPLAINTS FROM TEAM MANGERS/COACHES OR ASSISTANT COACHES

COMPLAINT CONTACT INFORMATION

First Name *

Last Name *

Contact E-mail Address *

Community League *

GAME DETAILS

Date (YY-MM-DD) *

Time (Kickoff) *

I am a coaching member of the *

Age Group *

Sex *

Field Location *

Home Team *

Away Team *

OFFICIALS INFORMATION

Referee's Name *

Assistant Referee #1's Name *

Assistant Referee #2's Name *

REFEREE'S PERFORMANCE

Guideline to Marking

Mark 91-100

This standard of performance reflects complete confidence in the accuracy in decision making with the application of management and communication skills that create an environment of fair play and add real value to the game.

Mark 81-90

This standard of performance reflects condidence in the level of accuracy in decision making with manamgement and communication skills that enable fair play.

Mark 71-80

This standard reflects a condient approach to the decision making process with accuracy in the vast majority of those decisions. There will be empathy with the players and a positive contribution towards fair play.

Mark 61-70

This standard of performance reflects a reasonable level of accuracy achieved in the decision making process, and some empathy with players that enabled a degree of fair play.

Mark 51-60

This standard of perfornamce reflects some shortcomings in the level of accuracy achieved in the decision making process, and little empathy with players to enable fair play.

Mark 50 and below

This standard reflects shortcomings in the level of accuracy achieved in the decision making process, and further shortcomings in the empathy with players to enable fair play.

Overall Decision Making *

Overall Standard of Management *

Overall Standard of Communication *

Additional Comments If any area is marked "poor" or below, or the mark awarded is 50 or less, detailed, constructive, developmental comments are required.

0/2000 words

Thank you for taking the time to tell us about your concerns. Please note that if you have not followed the proper procedures your complaint will not be reviewed.