Student Information

* Student Name

* Student Sponsoring (home) country

* Student sponsoring (home) Rotary club and District (ex: Denver/5450)

* Student's hosting country

* Students hosting Rotary club/District (ex: Confins/4750)
 
Orientation

* How would you rate the orientation/training you received prior to departure on your exchange?

* Please explain

* What would you suggest to improve the pre-departure orientation?

* What was the most helpful or what did you like best about the orientation?

* Were you properly prepared for the challenges of spending a year abroad?

* Please explain

* Did you understand Rotary and the purpose of the exchange before you departed your home country?

* Please explain

* Did you receive an orientation when you arrived in your host country?

* How would you rate the orientation/training you received in your host country?

* Please explain
 
The Year Abroad

* How often were you invited to attend Rotary meetings?

* How often did you interact with Rotary club members outside of meetings?

* Did your hosting Rotary club meet your expectations?

* Please explain why or why not

* Did you have a Rotary counselor?

* How often did you meet with your counselor?

* Was your counselor available when you had a problem or concern that you wanted to discuss?

* Since your counselor was not available, who did you talk to and why?

* Did you receive your monthly allowance each month?

* Please explain why not to the best of your knowledge/ability

* Great! How much was your allowance?

* Was that enough and what did you typically use the money for?

* How many host families did you have during your exchange year?

* How would you rate your 1st host family?

* How would you rate your 2nd host family?

* How would you rate your 3rd host family?

* How would you rate your 4th host family?

* Please explain why you think you had 4 or more host families

* How would you rate your travel arrangements to/from your host country?

* Please explain

* How would you rate your Rotary preferred insurance provider?

* Please explain

* Did your sponsoring club/district and youth exchange people maintain adequate communication with you during your exchange year?

* What could be done different/how could communication be improved/Why was communication not maintained?

* What was the most important thing you learned or gained by being an exchange student?

* What were the most significant experiences during your year?
 
Your Return Home!

* Would you like to remain involved with Rotary?

* Would you be interested in keeping in contact with other former youth exchange students or be involved with ROTEX?

* How do you feel about going or being home? Excited? Sad? Why?

* Are you currently experiencing any problems or concerns?

* Was the whole experience what you expected and please explain

* Please comment on how we can improve the program or just in general your thoughts

Thank you for completing this evaluation form! The feedback will be carefully read and reviewed. We appreciate your participation in the program and hope your experience was everything you anticipated.