Area Representative Evaluation Report
DECEMBER
Name of Area Representative Completing This Form:
*
First Name
Last Name
Student's Name:
*
Please Select
ALONA AXPE
BELTRAN DURAN
DEBORA DZIEDZIC
FRIEDA RUTZ
GABRIEL BALESTRIERI
GIOVANNA ALMEIDA
GUILHERME MENDES
HANA MARKUSOVA
INES GOMEZ
ISABEL DE LUIS
ISABELLA PINHO
JIAYI LIANG
JOANA DA PONTE
JOAO PEDRO CARVALHO
JULIETTE SAYEGH
LIV WEDRICH
LUIS FERNANDO BORGES
NILS DAUER
PEDRO HENRIQUE MARCAL
SARAH BRAGA
Student's Gender:
*
Female
Male
Student's Home Country:
*
Please Select
Brazil
China
France
Germany
Italy
Slovakia
Spain
Program Season:
*
Please Select
2024/2025 School Year
Exchange program season:
*
Fall 2023 School Year
Fall 2023 Semester
Spring 2024 Semester
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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