Monthly Report – Inbound StudentName* First Last Home Country*ArgentinaBelgiumBoliviaBrazilChileColombiaCroatiaDenmarkEcuadorFinlandFranceGermanyHungaryIndiaIndonesiaItalyJapanKoreaMexicoPeruPolandRomaniaSlovak RepublicSouth AfricaSpainSwedenTaiwanThailandVenezuelaZimbabweYour USA Cell Phone Number*Current AddressHost Parent Name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Host Club*AntigoAppleton BreakfastClintonvilleDoor County North (Baileys Harbor)Green BayHancockHoughtonIshpemingMarquette BreakfastMarquette NoonMinocqua (Lakeland) BreakfastMinocqua (Lakeland) NoonNew LondonRhinelanderShawanoStevens PointSturgeon Bay NoonWaupaca BreakfastWausau Early BirdsHost RYE Officer* RYE Officer's Email RYE Officers PhoneDo you want to keep this section confidential?* Yes No Don't Care If you are having any difficulties or problems, please tell us about them*What have you done to resolve them?*Is it severe enough for us to intervene at this time?* Yes No Please tell us about your life!*Please write at least five sentences describing your current life as a Rotary Youth Exchange student!Please tell us how you feel about the school you are attending*Subjects you are taking in school Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Course of Study Grade (A-B-C-D-F) Please rate your language ability: (1= poor, 10 = excellent)Speaking*12345678910Understanding*12345678910Please rate your relationships with: (1= poor, 10 = excellent)Host Family*12345678910Teachers*12345678910Students*12345678910RYE Counselor*12345678910Host Rotary Club*12345678910Number of Rotary meetings attended this month?*Are you receiving your monthly allowance?* Yes No How Much?*On Time?* Yes No PhoneThis field is for validation purposes and should be left unchanged. Monthly report link will be sent by Barb – Inbound Chair – to the student