Area Representative Evaluation Report (March)
ARISE (Association Representing International Student Exchange)
Name of the Area Representative who is completing this form:
*
First Name
Last Name
Exchange program season:
*
Fall 2023
Fall 2024
Spring 2024
Name of Exchange Student
*
First Name
Last Name
Student's Home Country
*
Please Select
Brazil
Colombia
Germany
France
Italy
Spain
Slovakia
Student's Gender:
*
Female
Male
Name of Host Family:
*
Host Family Location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Based on the communications you had with the student for the month of March, please rate the student's experience:
*
Positive
Fair
Negative
Needs Improvement
Host family Interaction
Host family support towards the student
Overall relationship between host family & student
Student's adaptation to US culture
Student's experience at school
Student's interaction with school friends
Please select the dates that you communicated with the STUDENT during the month of March:
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please select the ways in which you communicated with the STUDENT in the month of March:
*
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 March:
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please use the following scale to rate the host family's experience based on the recent communications you had with them and personal observations. The following categories is focused on how the host family feels about the student and experience thus far.
*
Excellent
Good
Fair
Needs improvement
Student's care and love towards the host family.
Overall relationship between student and host family
Student's interest to be involved with the host family and their activities.
Host family's communication with the student.
Student's behavior at home
Student's academic performance at school.
Student's behavior at school
Student's English skills
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
Please explain the relationship between the student and host family: How are they getting along? How is the communication with each other? Does the student feel supported and cared for? Does the host family feel the student is interacting with them? Please share details:
*
Please explain the student's experience at the local high school:
*
Does the student have friends? Has she/he done activities with them? Please explain:
*
Please share any additional questions or concerns about this placement:
*
Area Representative Signature
*
Today's Date:
*
/
Month
/
Day
Year
Date
Area Representative E-mail.
*
example@example.com
Submit
(Please don't complete this section) This space is for ARISE's staff main office for notes.
Follow ARISE on social media here:
Should be Empty: