Exchange Student Performance Evaluation Form
Please complete this form to provide a comprehensive evaluation of the exchange student's performance during their program.
Student Name
*
First Name
Last Name
Evaluator Name
*
First Name
Last Name
Evaluator Position/Role
*
Host Institution/Organization
*
Evaluation Period (Start and End Dates)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Academic Performance Evaluation
*
Rows
Excellent
Good
Satisfactory
Needs Improvement
Class Participation
1
2
3
4
Assignment Completion
5
6
7
8
Quality of Work
9
10
11
12
Attendance
13
14
15
16
Language Proficiency
*
1
2
3
4
5
Social Integration and Adaptability
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Cultural Awareness and Respect
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Areas Where the Student Excelled
Areas for Improvement
Would you recommend this student for future exchange programs?
*
Yes
No
With Reservations (please explain below)
Additional Comments or Recommendations
Submit Evaluation
Should be Empty: