Area Representative Evaluation Report (December)
ARISE (Association Representing International Student Exchange)
Name of the Area Representative who is completing this form:
*
First Name
Last Name
Student's Name:
*
Please Select
ALFONSO LLANES
INES GARCIA
LUCIA GARICANO
MARTIN MORAL
RAFAEL ARGANZA
Exchange program reason:
*
Fall 2022 Year
Fall 2022 Semester
Student's Home Country
*
Please Select
SPAIN
Student's Gender:
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Female
Male
Host Family Name:
*
Please Select
The Bergyl Family
The Hogan Family
The Hutchinson Family
The Rasmussen Family
The Schwalm Family
Host Family Location:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please elabarote how the relationship between the student and host family. Are they getting along? Do they have a good communication, do they do activities together?
*
Please elaborate on how the student is doing in terms friendship with American friends, participation in social and cultural activities with them or others, please share any examples that might have shared with you after speaking with the student/host family:
*
Based on the communications you had with the student, host family or school official, how he/she doing at school in terms of grades?
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Excellent (Mostly As)
Good (Mostly As & Bs)
Passing (Mostly Cs)
Struggling, student has some Cs and Ds
Failing
Other
Please select the dates that you communicated with the STUDENT during the month of December:
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Please select the ways in which you communicated with the STUDENT during the month of December.:
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E-mail
Phone Call
Text Message
Facebook Messaging
In Person Visit
WhatsApp Communication
Instagram Messaging
Zoom
Skype
Other
Please select the dates that you communicated with the HOST FAMILY during the month of December:
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Please select the ways in which you communicated with the HOST FAMILY:
*
E-mail
Phone Call
Text Message
Facebook Messaging
In Person Visit
WhatsApp Communication
Instagram Messaging
Zoom
Skype
Other
Are there any other observations or concerns to report about this placement?
*
Area Representative Signature
*
Today's Date:
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Month
/
Day
Year
Date
Area Representative Email:
*
example@example.com
(Please don't complete this section) This space is for ARISE's staff main office for notes.
Submit
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