Monthly Dorm Report

Monthly Dorm Report
School Name 学校名称*
Report for the Month of 报告时间*
Student Name 学生姓名*
International Student Coordinator 国际生管理员姓名*
Monthly Evaluation 1=Need to Improve, 2 = Satisfied, 3 = Acceptable, 4 = Very Satisfied (1 = 有待提高, 2 = 还可以, 3 = 满意, 4 = 非常满意).

1. Student respects and abides by the dorm rules 学生遵守宿舍规则*

	1	2	3	4

1 is Need to Improve, 4 is Very Satisfied

2. Overall, the student demonstrates healthy sleeping habits 学生的作息习惯*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

3. Student demonstrates good personal hygiene 个人卫生和洗衣习惯*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

4. Student cleans his/her own room/ bathroom 打扫房间和浴室*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

5. Student watches TV/News/Movies 学生看电视/新闻/电影*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

6. Student goes to the grocery store /the shopping mall/ the market. 学生外出购物*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

7. Student participates in organized dorm activities. 学生参加宿舍活动和朋友在一起*

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

8. Did the student arrange any travel this month? 当月学生有无出行计划

Yes 有sNo 没有Other
9. Which subject(s) seems to be most improved this month? 本月学生进步最大的科目是什么？*
10. Subjects you think the student would be benefit from additional tutoring in? (Multiple choices) 您认为学生最需要帮助的是哪些科目？（多选）*

ENGLISH LAN/ELA /ESL 英语语言/英语第二语言课程ALG/ALGEBRA 代数GEOMETRY 几何AMERICAN GOV/POL 美国政务/政治AMERICAN HISTORY 美国历史BIO/BIOLOGY 生物CHEM/CHEMISTRY 化学PHYSICS 物理PE 体育THEOLOGY 神学Others 其他Other
11. Does the student participate in extracurricular activities at school? 学生参加学校组织的课外活动吗？*

Yes 有No 没有
12. Which extracurricular activities is the student interested in? (Multiple choices) 学校的课外活动中，学生最喜欢参加的是哪几项？（多选）*

Art 艺术类Community Service 社区服务类Language 语言类Leadership 领导力类Media and Technology 媒体科技类Music 音乐类Religion 宗教类Social Activity 社会活动Speech and Political 演讲和政治Sports and Recreation 体育娱乐Study Club 学习类Others 其他Other
Thank you so much for taking the time to answer all of these questions. Before you submit your answers, please don’t forget to upload 5 recent photos of our lovely student. The natural parents will definitely appreciate it.
Please provide suggestions in the following areas:
1. Daily Life:
2. Language:
3. Academics:
4. Other:
Should be Empty: