Monthly Report

Remember to send your monthly report on time.

Student Name (Required)

characters remaining

Your E-Mail Address: (Required)

Submission Date (Required)

/ /

Host Club Counsellor

Club Counsellor Name

Counsellor Address

Current Host Family

Host Family Name

Host Family Address

Next Host Family

Next Host Family Name

Next Host Family Address

Expected Transfer Date

/ /

Places of Interest Visited

Contact with other Exchange Students

Publicity Received

School Activities

Language Proficiency

Relationships

With your host family:

With your club and club counsellor:

With fellow students:

Planned Trips:

Problems:

Comments or Suggestions:

Activities since Last Report

Rotary Meetings / Functions Attended

Public Speaking

Include the topic

District Counsellor Email (Required)

OUTBOUND 2011 and INBOUND 2011-2012 BELGIUM, NORWAY and TAIWAN - Bob & Bev Davison
OUTBOUND 2011 GERMANY, FINLAND and MEXICO and INBOUND 2011-2012 FINLAND, AUSTRIA, SPAIN and MEXICO - Jan and Geoff Duffy
OUTBOUND 2011 CHILE and INBOUND 2011-2012 SWEDEN, DENMARK, ITALY - Sue and Ray Rice
OUTBOUND 2011 FRANCE, BRAZIL and SWITZERLAND and INBOUND 2011-2012 FRANCE, SWITZERLAND, CANADA and USA - Robert Erskine and Raylene Jarvis
INBOUND 2011-2012 Christine and Milan Zec - BRAZIL, CHILE and EQUADOR
OUTBOUND 2011 Mandy and Peter Visser - USA, CANADA and AUSTRIA
Paul Wynn - District Chair
Alison Bowland

Upcoming Events: District Committee Meeting - 3/7 Sefton Rd, Thornleigh 3/7 Sefton Rd, Thornleigh ,
Jun 14, 2012; Grand Farewell for departing exchange students Paul's Place (contact your Country Co-ord for address),
Jun 17, 2012; District Interviews for 2013 Outbounds Naamaroo Conference Centre,
Jun 23, 2012; First Outbound student briefing – Thornleigh Community Centre Thornleigh Community Centre,
Jul 22, 2012; Inbound Students Briefing – Thornleigh Community Centre Thornleigh Community Centre,
Aug 04, 2012; Previous events…; Upcoming events…

« May 2012 »

Mo	Tu	We	Th	Fr	Sa	Su
	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