Area Representative Evaluation Report
DECEMBER
Name of Area Representative Completing This Form:
*
First Name
Last Name
Student's Name:
*
Please Select
1. Catarina Menossi
2. Gabriel Aupetit
3. Gabriella Brasil
4. Inigo Elorriaga
5. Isaac Abreu
6. Isaac Braga
7. Isabella Hervella
8. Martina Baudo
9. Mauro Sanchez
10. Samuel Quirino
11. Sara Munoz
12. Vinicius Fernandes
Student's Gender:
*
Female
Male
Student's Home Country:
*
Please Select
Brazil
China
France
Germany
Italy
Slovakia
Spain
Program Season:
*
Please Select
2025/2026 School Year
Host Family's Name:
*
Host Family's Location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
As the end of the semester approaches, please describe how the overall relationship has been between the student and host family.
*
Please list some of the events and/or activities the student and host family have participated in.
*
Are you aware of any activities or events the host family is planning to participate in with the student for Christmas and/or New Years?
*
Please describe the student's behavior towards the host family, as well as his/her behavior at school. Is everything going okay? Are there any problems to report? If so, please provide this information below.
*
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 in December:
*
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 in December:
*
E-mail
Phone Call
Text Message
Facebook Messaging
In Person Visit
WhatsApp Communication
Instagram Messaging
Zoom
Skype
Other
Area Representative's Electronic Signature:
*
Today's Date:
*
/
Month
/
Day
Year
Date
Your E-mail Address:
*
example@example.com
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