J-1 Intern/Trainee Final Evaluation Form
* All fields are mandatory. Please make sure you fill out all fields before submitting the form, thanks!
Participant Name
Participant AAG ID Number
Participant DS-2019 Number
Name of Host Company
Name of Supervisor
Q1: Level of Satisfaction with the Program
Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Q2: Training Plan Completion
Completed additional training
Completed all phases ahead of schedule
Completed all phases on time
Struggled to complete all phases
Failed to complete all phases
Q3: Level of Satisfaction with your Placement
Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Q4: What do you consider to be the best aspect of the J-1 Internship Program?
Q5: What are the top strengths you think that you have gained while on the program?
Q6: How will you apply what you have learned in the future, professionally and personally?
Q7: What cultural activity(s)/opportunity(s) have you experienced during the last months of your program?
Q8: Will you be willing to refer the program to some other international participants?
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.
Participant's Name
Signature
Supervisor's Name
Signature
Date
Send Final Evaluation