Referee Questionnaire Fall 2024 – Duke City Soccer League

First Name

Last Name

Do you consider yourself a(n)

Youth Referee
Adult Referee

Please list your home city and state (Example: Albuquerque, NM)

Referee Level

Email (Must be the same for Stack Officials)

Email

Confirm Email

Cell Phone Number

Parent's Name

First

Last

Email of Parent or Adult if Under 18

Parent Cell Phone Number

Year of Birth

The approximate year you first started officiating

The Highest Level You feel Comfortable Officiating

What's the highest level you were a Center last season for Duke City

What's the highest level you were a AR last season for Duke City

What's The highest Level of competition you have officiated?

Your Assignment Preference

AR Only
Center Only
Both

Do you also officiate high school games

YES
NO

Have you taken an in-person class?

I took the 8-hour in-person class in Summer 24
I took the 16-hour class or longer prior to COVID
I attended a workshop in which I completed the class online with help
I have only completed the online training
Other or I do not know

Have you gone through a mentor game and been evaluated

Yes, an AR Mentor Game through Duke City
Yes, a Center Mentor Game through Duke City
Yes, I have been mentored from another league or tourney
No, I have never gone through a mentor game

Team Affiliation 1 (if any) This would include any team you plan to give points to

Team Affiliation 2 (if any) This would include any team you plan to give points to

Team Affiliation 3 (if any) This would include any team you plan to give points to

Team Affiliation 4 (if any) This would include any team you plan to give points to

Special Requests

Please indicate if you want to Center, AR and which age groups you would like to officiate or not officiate. Also please list any schedule conflicts. If you have no preferences type n/a

Photo

Click or drag a file to this area to upload.

Please up load a headshot. This helps the assignor to get to know the referee

CLICK HERE TO FIND YOUR USSF ID

USSF ID (If Known)

Assignor's Access

Click for Admin Access (Assignor’s Only)

Password

Assignor Notes

Game Log

Turnbacks

Date

League

Hours before kick

Assignor

Video

Date

League

Position

Website / URL

Evaluations

Date

League

Type

Link to Document

Notifications

Do Not Send Email
Send Video Email
Send Evaluation Email

Numbers