Monthly Evaluation Form

Forte International Exchange FIEA Monthly Association Report 529 14th Street NW, Suite 270 Washington, D.C. 20045, U.S.A. Please complete this form at least once Tel: 202-628-8226, Fax: 202-296-8685 a month and return to Forte National Office. Email: [email protected] Website: www.orgsites.com/dc/forte The contacts can be conducted over phone. Report for the month of:

Local Rep Name: LR Telephone:

Student’s Name: Home Country:

Host Family Name: Met with the student in person  Yes Date Contacted Student:  No Met with the host family in person  Yes Date Contacted Host Family:  No Did you contact the School this month  Yes  Date Contacted School: No Did you contact this student, host family, or school more than in normal situation? If Yes, please explain:

Comments Evaluation Rating: 1 = poor; 2 = fair; 3 = Ratin (necessary for ratings of fair or good; 4 = super g poor) Student understands and follows rules Student participation in school/community activities Student’s academic performance

Student's overall conversational language abilities Student’s level of comfort and ease with host family Student’s interaction with host family Host family’s interest/participation in student’s personal welfare Host family’s interest/participation in student’s education

Forte International Exchange Association Host family’s interest/participation in student’s extracurricular activities Overall relationship between host family and student CONVERSATION NOTES Please use the space below to record your conversation notes.

STUDENT:

HOST FAMILY:

SCHOOL:

Forte International Exchange Association Signature: (type if sending electronically) Date:

Forte International Exchange Association