Area Representative Evaluation Report (October)
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 O.
DANIELA F.
ERIC C.
GUILLERMO H.
GUSTAVO B.
JAKOB G.
JOAO FELIPE R.
JOAO VITOR G.
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
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 use the following scale to rate the student's experience thus far based on your recent communication with the STUDENT and your personal observations, are the answers or commentaries to the topics below mostly positive, negative or neutral?
*
Positive
Fair
Negative
Needs Improvement
Host family love and attention towards the student
Host family support towards the student
Overall relationship between host family & student
Student's interest to interact with the host family and be involved.
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 October:
*
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 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 October:
*
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
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 describe any activities the student and host family has done or plan on doing for Halloween or for anything that might have happened this month:
*
If you wish to elaborate on the questions above, please use this space to share additional concerns, comments or questions.
*
Area Representative Signature
*
Today's Date:
*
/
Month
/
Day
Year
Date
Your e-mail address. (By entering your e-mail, you will receive a notification that you completed this evaluation).
*
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: