Mid Stay Evaluation for Supervisor

Survey for the Supervisor

This section must be filled out by the J1's supervisor at the host company.

One of the main objectives of this survey is to make sure that the J1 training or internship program is going well and that the training/internship is going as planned in the official training plan (DS 7002). In addition, we would also like to know how IEC can assist you better in hosting a J1.If there is anything you would like to share with us which is not covered in this survey,please do not hesitate to email or call us: http://www.internationalexchangecenter.org/contact-us

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* 1. Please fill out the information below:

Name:

Company:

Email Address:

Phone Number:

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* 2. Please enter the name of the J-1 Trainee/Intern:

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* 3. How would you rate the trainee's progress so far?

Will probably meet all objectives before the end date

Everything is right on schedule at expected rate

Trainee/Intern might meet all objectives

Training/Internship objectives cannot be accomplished

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* 4. How would you rate the trainee/intern's relationship with coworkers?

Very good

Good

Not good

Other (please specify)

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* 5. What are the goals for the trainee/intern for the rest of the program?

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* 6. Did you find the host handbook useful in terms of being able to successfully host a J1 trainee/intern?

Yes

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* 7. Please read the disclaimer below:

By signing my name here, I attest that I am direct supervisor of the aforementioned J-1 Trainee/Intern. All the information provided herein is correct to the best of my knowledge.

Signature

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* 8. Please read the disclaimer below:

By checking this box, I attest that I have discussed regarding the progress of training/internship program with the trainee/intern