Ref Base – Mentor Evaluations
Mentee Name
Xavier FitzGerald Tri
Mentee Email
trigoutman@gmail.com
Mentor Name
Cindy Spring
Mentor Email
canicho12@aol.com
The person who was mentored was in this position
Position of Mentee
AR 4
Date / Time of Match
03/14/2026 10:30 AM
Field Location of Match
SC 13 N
Positioning/Movement
Positioning along touchline during active play and staying at the offside line
3 = Needs Improvement
Positioning/Movement Comments
Decision Making/Rules Application:
Decision Making/Rules Application: Comments
Interaction with Team
Interaction with Team Comments
Signaling:
Position at corner for signaling GK or CK
3 = Needs Improvement
Signaling Coments
Accuracy when signaling offside:
4 = Offsides did not occur
Correct mechanics when signaling for offside
4 = Offsides did not occur
Comment on offside signaling
Accuracy when signaling throw-ins
3 = Needs Improvement
Correct mechanics when signaling throw-ins
Comment on throw-in signaling
Proper hand for carrying the flag when not signaling:
3 = Needs Improvement
Accuracy and mechanics when signaling fouls in AR’s area:
4-Foul in Area Did Not Occur
ccuracy and mechanics when signaling GK and CK
3 = Needs Improvement
Positioning for a Penalty Kick
4-PK Did Not Occur
Made eye contact with Referee/AR when needed:
3 = Needs Improvement
Did the referee have the proper jersey and badge and was the jersey tucked in an worn approriatley
No
Did the referee wear black shorts
No
Did the referee wear black socks that were pulled up just below the knee
No
Uniform/Appearance comments
Comments for the Mentee
Mentor's Recommendation
Mentee needs to another AR mentor game
Comments for the Assignor
No Show
Is this form completed
Yes
Send Mentor and Mentee the assignment
no (click here if you are a mentor)
Do you want this form sent to the mentee?
No
Assignor's Password
Entered Into Ref Base
Assignor's Action