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 M.
BEATRIZ B.
CANDELA M.
DANIELA DE OLIVEIRA
DANIELA FERRERA
ERIC C.
GUILLERMO H.
GUSTAVO B.
JAKOB G.
JOAO FELIPE RIBEIRO
JOAO VITOR GIROUX
JORGE N.
JUDITH A.
LEVI P.
LOLA V.
LUKAS G.
NICOLE S.
PAULA T.
Exchange program season:
*
Fall 2023 School Year
Fall 2023 Semester
Spring 2024 Semester
Student's Home Country
*
Please Select
Brazil
Colombia
Ecuador
France
Germany
Italy
Spain
Student's Gender:
*
Female
Male
Host Family Name:
*
Host Family Location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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 this month:
*
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
As the end of the semester approaches, please describe as an overall how the relationship has been between the student and host family?
*
As an overall, can you list some of the events or activities the host family and the student has done together?
*
Are you aware of any activities or events the host family plans on doing with the student for Christmas and/or New Years?
*
Please describe the student's behavior towards the host family and behavior at school. Is everything going okay? Are there any problems to report, if so, please list this information here:
*
Area Representative Signature
*
Today's Date:
*
/
Month
/
Day
Year
Date
Area Representative E-mail: (By entering your e-mail below, you will receive a copy of this evaluation report for your records).
*
example@example.com
Submit
(Please don't complete this section) This space is for ARISE's staff main office for notes.
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