LC Monthly Report

LC Name:*
Student's Native Given Name*
First Last
Please list the students Given name, not just their American Name.
Host Family Name*
Date of Report*
Date of Host Family Contact*

If the host family was contacted multiple times this month, please just state one date of contact.
Date of Student Contact*

Students should be contacted a minimum of twice a month. Please just list one date of contact.
What are some positives of the student/host family relationships this month? Please explain in detail. (Activities participated in with the host, learned something new in the home, participated in a school activity, etc.)*
Did the student voice any concerns this month (food, transportation, academic, personal habits, cultural differences, etc.)? If so, please explain. What steps are being taken to resolve any concerns?*
Did the host family voice any concerns this month (food, transportation, academic, personal habits, cultural differences, etc.)? If so, please explain. What steps are being taken to resolve any concerns?*
As the LC, do you have any concerns or additional comments? If so, please explain.*
Please include photos of the student and host family taken this month.*
Drop files here or
If you have access to the student's grades, please provide a screen shot or a copy of the report.
Drop files here or