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SSA Referee Evaluation Form
This form should be used as an evaluation form for Referee
Minimum Requirements for Upgrade to Level 2
Level 2 Clinic
Referee at 4 or more provincial/regional sanctioned meets
Assistant at 2 or more SSC sanctioned meets (Provincial/Regional Level)Satisfactory evaluation from Level 3 or higher Recorder or Referee
Satisfactory evaluation from a Level 3 or higher Referee
Review and approval from Speed Skate Alberta / Official Development Committee
* Indicates required question
Email
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Record my email address with my response
Email
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Your answer
Basic Information
Assessor Name
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Your answer
Assessor Level
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1
2
3B
3A
4
5
Referee Name
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Your answer
Date of Event
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MM
/
DD
/
YYYY
Name of Event
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Your answer
Location of Event
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Your answer
Assessment
Ratings of knowledge and understanding
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Needs Work
Good Understanding
Knowledge of Rules/Applicable Bulletins
Communication
Positioning
Attentiveness
Attitude/Poise
Reliability
Penalties
Meet Preparation Pre/During/Post
Attitude towards learning
Impact and influence
Needs Work
Good Understanding
Knowledge of Rules/Applicable Bulletins
Communication
Positioning
Attentiveness
Attitude/Poise
Reliability
Penalties
Meet Preparation Pre/During/Post
Attitude towards learning
Impact and influence
Overall Successes
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Your answer
Overall Challenges
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Your answer
Summary
1 - Too Early, 2 - Needs Work, 3 - Ready for Next Level, 4 - Ready to be Mentoring
Taking into account all factors, what is your overall assessment of the Referee's performance?
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1
2
3
4
Feedback Discussed with Mentee
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Yes
No
Recommendation for Upgrade
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Yes
No
Additional Comments
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Your answer
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