Mentoring Report Form:

This form is to be used for evaluation of your assigned referee for mentoring.
The report will be automatically sent to (1) the Director of Instruction,
(2) the Director of Assessment, and (3) Las Cruces Youth Soccer League.
The Director of Assessment will forward an appropriate report to the referee.


Mentor:
Email Address:
Referee mentored:
Date: time: Age group: Position: Field:

Evaluation Points:
1. Pre-game
    a. Timeliness     
    b. Attire          (i.e. Professional, missing items, wrong items such as white hat or shoes, etc.)
    c. Duties          (i.e. Not covered, Explained by center, Understood by AR, etc.)
    d. Coach and       (i.e. Equipment inspection, Card inspection,
       Player Check-in                                              Questions by player or coach answered, etc.)
    e. Coin toss       (i.e. Method, Clear, Professional, etc.)

2. Signals

    a. In touch     
    b. Offside      
    c. Corner kick  
    d. Goal kick    
    e. Foul         
    f. Substitution 
    g. Goal         

3. Positioning

    a. Throw-in     
    b. Offside      
    c. Corner kick  
    d. Goal kick    
    e. Free kick    
    f. Substitution 
    g. Kick off     

4. Apply Law 12

    a. Foul
       1. Recognition           
       2. Level                 
    b. Setting wall             
    c. Quick kicks              
    d. Applying advantage       
    e. Penalty Kick mechanics
       1. Signal                
       2. Procedure             
    f. Misconduct
       1. Recognition           
       2. Mechanics             

5. Communication

    a. Pre-game discussion         
    b. Eye contact                 
    c. Half time discussion         
       (i.e. None needed, discussed errors/problems, done in private, covered 2nd half, etc.)
    d. After game discussion        
       (i.e. None needed, discussed errors/problems, done in private, what was improved, etc.)
    e. Player pass cards returned  

If you need to write more to explain individual Evaluation Points. Also use this box to give 3 positive things observed and 3 things to improve.:

Special situation that occurred during the observation and how they handled the situation. (Discuss the issuing of cards.):