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July Homestay Report
Month
School Year
*
Date*
School Name*
Student Name*
Coordinator*
Select One
Elizabeth Quaranta
Allison Cummings
Other (Specify)
If you chose OTHER Coordinator, please enter the name here.
Host Family Name*
I. Host Family Feedback
Question 1: What is something fun that you and your student have done together this month?*
Question 2: Has your student made a point to get fresh air/ exercise on a regular basis? Please explain below.*
Question 3: Has your student signed up for any online Summer courses? If yes, which one(s)?*
Question 4: How is your student feeling about returning to school in the Fall?*
Question 5: Does your student know what day he/ she is supposed to report to school in the Fall? If yes, please share the date below.*
Question 6: Do you have any other feedback for your student's family?
Please include no more than 2 pictures to share with the student’s family. Ideal pictures may be something like the student enjoying time with family or a school activity, helping around the home, or can even be when studying.
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