American Midwest Conference

Officials Rating Form

Please fill out the following information and fax this form to Lowell Pitzer, Commissioner of the AMC, at 314-392-2371. The form must be submitted to the commissioner’s office within 48 hours of the contest in question.

Date of Contest: _________________________ Sport: ____________________________________

Game Time: _______________ Location: ___________________ Final Score: _________________

Witness(es): ______________________________________________________________________

Officials’ Names (list lead official in the No. 1 position):

1. _________________________________ 2. __________________________________

3. _________________________________ 4. __________________________________

Please rate the official/officals in the categories below based on the following rating system:

1 – Excellent 2 – Good 3 – Unsatisfactory 4 – Unacceptable

Official 1 Official 2 Official 3 Official 4

Promptness _______ _______ _______ _______

Professionalism _______ _______ _______ _______

Knowledge of the Rules _______ _______ _______ _______

Hustle _______ _______ _______ _______

Consistency _______ _______ _______ _______

Communication with

coaches and players _______ _______ _______ _______

Poise & Self-Control _______ _______ _______ _______

Overall Performance _______ _______ _______ _______

Comments: _______________________________________________________________________

_____________________________ ___________________________

Athletic Director – Signature Head Coach (if applicable) - Signature