J-1 Intern/Trainee Final Evaluation Form

* All fields are mandatory. Please make sure you fill out all fields before submitting the form, thanks!



Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied

Completed additional training
Completed all phases ahead of schedule
Completed all phases on time
Struggled to complete all phases
Failed to complete all phases

Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Yes No
The electronic signatures below indicate that the Intern/Trainee and Host Company representative have completed this evaluation together and agree to all points.