Date Home Team Score Visiting Team ______

Date ____________________________
Home Team _________________________
Score ___________________________
Visiting Team _______________________
Name of person submitting evaluation: ____________________________________________
Officiating Crew
R = Referee (White Hat, behind offense)
L = Linesman (line of scrimmage w/ Chains)
BJ = Back Judge (15+ yds. Downfield)
Criteria
Max
Score
R
U
U = Umpire (in the middle behind defensive line)
LJ = Line Judge (opposite side chains / line of scrimmage)
FJ = Field Judge (15+ yds. Downfield/opposite chains)
L
LJ
BJ
FJ
Comments
Uniform & Appearance
- Clean uniform
- Personal appearance
5
Pre-Game Duties
- On Time
- On Field Duties
- Attitude
5
Play & Position Coverage
- Starting Position
- Time-outs/dead balls
- Communication
- Hustle
25
Mechanics & Signals
- Whistle Loud & Correct
- Pre-play Signals
25
Judgement/Decision Making
- Good Football Sense
- Rules Application
- Good “No Call” judgement
20
Teamwork & Professionalism
- Respect towards coaches/players/
officials
- Not too friendly with coaches or
fans
- Shows tact
- Works well with his crew
20
Total Score
100
Any play or rule application/interpretation question/dispute: ___________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Reminder: Video clips may be emailed for review ([email protected]).
School submitting evaluation: ___________________________________
SCISA P.O. Drawer 690, Orangeburg, SC 29116 Fax 803-535-4840 Email: [email protected]