Referee Certification Application & Answer Sheet
- Details
- Last Updated on Tuesday, 06 January 2015 04:42
- Written by Administrator
- Hits: 9379
Ohio Judo, Inc.
REFEREE APPLICATION & EXAMINATION
(Please Print Clearly)
NAME OF EVENT: __________________________ LOCATION:________________ DATE:_____________
NAME OF CANDIDATE: _______________________________________ USJI #: ______________
ADDRESS: _____________________________ ____________________ ________ ______________
Street (& Apt. / PO) City State ZIP
Phones Res.: ( ) _______________ Bus. ( ) ________________ Cell: ( ) _______________
E-MAIL: __________________________ Date of Birth: ____/____/______ Judo Rank: __________
Gender: M F Date of Last Certification: ____/____/______ Certification Level: ______
Years in Judo: _____ Years Refereeing: _____ Approx. # events at this Cert Level: ______
WRITTEN EXAMINATION ANSWER SHEET
1. a b c d 11. a b c d 21. a b c d 31. a b c d 41. a b c d
2. a b c d 12. a b c d 22. a b c d 32. a b c d 42. a b c d
3. a b c d 13. a b c d 23. a b c d 33. a b c d 43. a b c d
4. a b c d 14. a b c d 24. a b c d 34. a b c d 44. a b c d
5. a b c d 15. a b c d 25. a b c d 35. a b c d 45. a b c d
6. a b c d 16. a b c d 26. a b c d 36. a b c d 46. a b c d
7. a b c d 17. a b c d 27. a b c d 37. a b c d 47. a b c d
8. a b c d 18. a b c d 28. a b c d 38. a b c d 48. a b c d
9. a b c d 19. a b c d 29. a b c d 39. a b c d 49. a b c d
10. a b c d 20. a b c d 30. a b c d 40. a b c d 50. a b c d
EXAMINERS: ___________________________ Written Score: __________
Chief Referee
___________________________ Practical Score: __________
Examiner
___________________________ PASS _____ FAIL _____
Examiner
Over for Practical Evaluation
RC Fm NR7-2003
REFEREE PRACTICAL EVALUATION FORM
CANDIDATE:_______________________________________________
REFEREE Pts. JUDGE Pts.
|
1.________________________________ _____
|
|
1.___________________________ _____ |
|
|
2.________________________________ _____
|
|
2.___________________________ _____ |
|
|
3.________________________________ _____
|
|
3.___________________________ _____ |
|
|
4.________________________________ _____
|
|
4.___________________________ _____ |
|
|
5.________________________________ _____
|
|
5.___________________________ _____ |
|
|
6.________________________________ _____
|
|
6.___________________________ _____ |
|
|
7.________________________________ _____
|
|
7.___________________________ _____ |
|
|
8.________________________________ _____
|
|
8.___________________________ _____ |
|
|
9.________________________________ _____
|
|
9.___________________________ _____ |
|
|
10._______________________________ _____
|
|
10.__________________________ _____ |
|
|
11._______________________________ _____
|
|
11.__________________________ _____ |
|
|
12._______________________________ _____
|
|
12.__________________________ _____ |
|
Minor Error = 2 pts Procedural Error = 5 pts Gross Error (wrong player wins, etc.) = 25 pts
|
Presence
|
Procedures |
|
Authority
|
Signals (Referee) |
|
Voice
|
Signals (Judge) |
|
Appreciation
|
Penalties |
|
Observation
|
Mobility |
|
Determination
|
Distance |
Over for Application – Written Examination
