Cultural Exchange Monitoring Form
Please fill out this form to help us monitor and evaluate the cultural exchange program.
Participant Full Name
First Name
Last Name
Country of Origin
Please Select
USA
Canada
UK
Australia
Germany
France
China
Japan
India
Brazil
Other
Host Country
Please Select
USA
Canada
UK
Australia
Germany
France
China
Japan
India
Brazil
Other
Date of Arrival
 -
Month
 -
Day
Year
Date
Date of Departure (if applicable)
 -
Month
 -
Day
Year
Date
Cultural Activities Participated In
Workshops
Language Classes
Cultural Tours
Community Service
Social Events
Other
Please describe your experience and what you learned during the exchange.
Would you recommend this program to others?
Yes
No
Maybe
Submit
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