Monthly Report

Remember to send your monthly report on time.

Student Name (Required)

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Your E-Mail Address: (Required)

Submission Date (Required)

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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

Upcoming Events: Rotary District 9680 District Conference - Compulsory Mar 18, 2010; District Committee Meeting - 3/7 Sefton Rd, Thornleigh Mar 25, 2010; Youth Exchange on Safari! Mar 27, 2010; District Committee Meeting - 3/7 Sefton Rd, Thornleigh Apr 22, 2010; District Interviews for 2011 Outbounds Thornleigh Community Centre,
May 08, 2010; Previous events…; Upcoming events…