YEP Monthly Report - For Exchange Students ONLY (to be submitted by the 7th of each month)

Rotary International District 9650 Youth Exchange

Name

Date Report for month of

Present host family

Host family's phone number

Host parent's e-mail address

Date of anticipated transfer to next family

Name of next host family

Do you have any comments, suggestions, requests, complaints, impressions, etc

Any illness, difficulties, problems with host club, family, counsellor or school since last report? If so, please provide a brief report

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Maths question: 5 + 19 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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06/10