Referee Training And Evaluation Form printable pdf download

Potomac Valley Swimming

Referee Training and Evaluation Form

Name: _______________________________________

Prerequisite checklist before asking for final evaluation:

1. Attend PVS-approved Referee Clinic prior to beginning training sessions.

2. Work at least 6 training sessions (with at least 2 different certified referees) at minimum 3 PVS sanctioned

non-OQM meets (no more than 3 sessions at intra-team, dual or tri meets) and be recommended for

evaluation by Certified Referee/Mentor at session #5 or later.

3. Either be certified as Hy-Tek Operator, Electronic Timing System Operator (ETS), and Administrative Official

(AO) OR work at least 2 training sessions in each position

4. Be registered via PVS for USA Swimming non-athlete membership and be current with USA Swimming

Background Check and Athlete Protection Training

5. Complete USA Swimming online tests (Certifying Referee, Administrative Referee, Clerk of Course, and

Timing Judge tests) with a combined score of at least 90%

Table Training Sessions (if not certified in following positions):

Hy-Tek: Date________ Trainer sig _________________ Date________ Trainer sig ______________________

ETS:

Date________ Trainer sig _________________ Date________ Trainer sig ______________________

AO:

Date________ Trainer sig _________________ Date________ Trainer sig ______________________

Final Evaluation Session: Evaluator:__________________________________ Date:____________________

Overall performance rating:

Good_____ Very Good______

Has Referee candidate completed all requirements as listed above?

Yes______

No_____

Is this person recommended to become a certified Referee?

Yes______

No_____

General comments (use additional page if necessary): __________________________________________

_______________________________________________________________________________________

(Referee should retain and return when applying for certification. Evaluators may make copy for their records)

Referee Training And Evaluation Form