NRDP Assessment Request Form
Before completing this form, you must ensure you are familiar with the current NRDP Assessment Policies & Procedures as published at https://nrdp.soccer/

Assessment requests should be made no fewer than ten (10) days prior to the earliest desired assessment date. NRDP will do its best to accommodate every assessment request made with at least that much lead time. Requests for assessments fewer than ten days in the future may be denied.
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Email *
First Name *
Last Name *
Phone Number *
Current License *
Assessment Type
 *
  • Upgrade: For Grassroots Referees wishing to upgrade to Regional Referee.
  • Maintenace: For Regional Referees wishing to maintain their license.
  • Development (development and guidance, or D&G): For any referee looking for general feedback on any match.
Match Role
 *
Assessments of assistant referee performance are valid ONLY for developmental assessments.
Upcoming Matches
 *
List the dates, times, locations, and match details of upcoming matches that meet the criteria for the type of assessment you are requesting. Examples: "9/1/2020, 9:00am, Discovery Park, U12G Level 1" or "10/31/2020, 7:00pm, Tranquility Park, U16B State Cup semi-finals". You may list one or more matches. If you list more than one, put each match's details on a separate line. Developmental Assessments have no specific criteria to qualify as a valid assessment, however you are strongly encouraged to choose a match that supports your development needs and goals.
Summary of feedback from most recent assessment(s)
Provide a written summary of feedback you have received from recent assessments or observations by a Referee Coach, Referee Mentor, or Referee Trainer, if any.
Summary of current improvement goals
Provide a written summary of the aspects of your refereeing you are currently trying to improve.
Description of goals for this assessment
What do you want to get out of this assessment? Are you trying to build your skillset to one day become a Regional Referee? Do you need to work on your movement and positioning? Have you had troubles lately with player management and you hope to get some feedback on how you can improve?
Assessment Policies and Procedures *
By selecting "Yes" below, you certify that you have read the NRDP Assessment Policies and Procedures document available at https://nrdp.soccer/, and that you understand your responsibilities as outlined in the document.
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