Monthly Dorm Report

Monthly Dorm Report
School Name 学校名称 *
Report for the Month of 报告时间 *
Student Name 学生姓名 *
International Student Coordinator 国际生管理员姓名 *
Monthly Evaluation 1=Need to Improve, 2 = Satisfied, 3 = Acceptable, 4 = Very Satisfied (1 = 有待提高, 2 = 还可以, 3 = 满意, 4 = 非常满意).

1. Student respects and abides by the dorm rules 学生遵守宿舍规则 *

	1	2	3	4

1 is Need to Improve, 4 is Very Satisfied

2. Overall, the student demonstrates healthy sleeping habits 学生的作息习惯 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

3. Student demonstrates good personal hygiene 个人卫生和洗衣习惯 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

4. Student cleans his/her own room/ bathroom 打扫房间和浴室 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

5. Student watches TV/News/Movies 学生看电视/新闻/电影 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

6. Student goes to the grocery store /the shopping mall/ the market. 学生外出购物 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

7. Student participates in organized dorm activities. 学生参加宿舍活动和朋友在一起 *

	1	2	3	4

1 is Needs to Improve, 4 is Very Satisfied

8. Did the student arrange any travel this month? 当月学生有无出行计划

Yes 有s No 没有
9. Which subject(s) seems to be most improved this month? 本月学生进步最大的科目是什么？ *
10. Subjects you think the student would be benefit from additional tutoring in? (Multiple choices) 您认为学生最需要帮助的是哪些科目？（多选） *

ENGLISH LAN/ELA /ESL 英语语言/英语第二语言课程 ALG/ALGEBRA 代数 GEOMETRY 几何 AMERICAN GOV/POL 美国政务/政治 AMERICAN HISTORY 美国历史 BIO/BIOLOGY 生物 CHEM/CHEMISTRY 化学 PHYSICS 物理 PE 体育 THEOLOGY 神学 Others 其他
11. Does the student participate in extracurricular activities at school? 学生参加学校组织的课外活动吗？ *

Yes 有 No 没有
12. Which extracurricular activities is the student interested in? (Multiple choices) 学校的课外活动中，学生最喜欢参加的是哪几项？（多选） *

Art 艺术类 Community Service 社区服务类 Language 语言类 Leadership 领导力类 Media and Technology 媒体科技类 Music 音乐类 Religion 宗教类 Social Activity 社会活动 Speech and Political 演讲和政治 Sports and Recreation 体育娱乐 Study Club 学习类 Others 其他
Thank you so much for taking the time to answer all of these questions. Before you submit your answers, please don’t forget to upload 5 recent photos of our lovely student. The natural parents will definitely appreciate it.
Please provide suggestions in the following areas:
1. Daily Life:
2. Language:
3. Academics:
4. Other:
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