HTML Preview Monthly Student Report page number 1.
A Non-profit Corporation
for Student Exchange
Monthly Student Progress Report for 20 ________
month year
STUDENT: ______________________________ HOST FAMILY (HF): ________________________________
COMMUNITY COORDINATOR (CC): ___________________________________________________________
1. PLEASE RATE STUDENT’S PROGRESS IN THE FOLLOWING AREAS:
1=Poor 2=Needs Improvement 3=Satisfactory 4=Very Good 5=Excellent
STUDENT'S OPINION HOST FAMILY'S OPINION
A) Relationship between Host Family 1 2 3 4 5 1 2 3 4 5
and student.
B) Student's participation in family 1 2 3 4 5 1 2 3 4 5
responsibilities and abiding by
family rules.
C) Student's participation in school 1 2 3 4 5 1 2 3 4 5
and academic progress.
D) Student's relationship with American 1 2 3 4 5 1 2 3 4 5
friends and community involvement.
E) Student's improvement in English 1 2 3 4 5 1 2 3 4 5
conversation ability.
DATE CC SPOKE WITH STUDENT __________________ DATE CC SPOKE WITH HF __________________
DATE CC MET WITH STUDENT _________________ DATE CC VISITED HF HOME __________________
2. CC COMMENTS AND/OR MESSAGES TO STUDENT'S NATURAL PARENTS:
If the student is having difficulty in any of the areas above, please explain the problem and include ideas and
suggestions for improvement. If everything is going well, please include positive comments.
CC's Signature: _______________________________________________ Date ________________________
ETC Signature: ________________________________________________ Date ________________________
NOTE TO THE NATURAL PARENTS: Please do not telephone your child. It creates unnecessary problems. If
you have any questions, please address them to our organization. Thank you.
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