Evaluation to Be Submitted By the Exchange Visitor or Supervisor Evaluations - Midpoint & Final I am an Exchange Visitor or SupervisorExchange VisitorSupervisorType of EvaluationMidpoint EvaluationFinal EvaluationName of Intern or TraineeSEVIS Number(upper right on DS-2019 starting with N)Program Dates From(As Shown on DS-2019)Program Dates To(As Shown on DS-2019)Training Dates FromTraining Dates ToEmail AddressEmail Address of SupervisorDate of Return to Home Country(Final Evaluation Only)Name of Host CompanyName of SupervisorMy host company has made me feel welcomeSelectAgreeNeutralDisagreeI have had a good relationship with my supervisorSelectAgreeNeutralDisagreeMy supervisor has shown interest in my training progressSelectAgreeNeutralDisagreeThe training program has been interestingSelectAgreeNeutralDisagreeMy internship/training has been personally fulfillingSelectAgreeNeutralDisagreeThe work hours have generally been between 32 and 40 per weekSelectAgreeNeutralDisagreeI have improved my understanding of U.S. business practicesSelectAgreeNeutralDisagreeI have learned specific job skills which are useful for my future careerSelectAgreeNeutralDisagreeMy host company made strong efforts to follow the training planSelectAgreeNeutralDisagreeI would recommend this company to other exchange visitorsSelectAgreeNeutralDisagreeThe host company has provided me with opportunities to participate in cultural activitiesSelectAgreeNeutralDisagreeI have been actively involved in activities within my local communitySelectAgreeNeutralDisagreeLast but not least, have you been safe, healthy and wellSelectAgreeNeutralDisagreePlease name at least three cultural activities which you have conducted while in the USAThe exchange visitor has met the qualifications and background required for this positionSelectAgreeNeutralDisagreeThe intern or trainee has performed the assigned tasks and activities wellSelectAgreeNeutralDisagreeThe exchange visitor has adapted to the new business environment and cultureSelectAgreeNeutralDisagreeThe intern or trainee has worked well within the team?SelectAgreeNeutralDisagreeSpoken English skills have improved appropriatelySelectAgreeNeutralDisagreeWritten English skills have improved adequatelySelectAgreeNeutralDisagreeThe exchange visitor has been training the expected number of hours per weekSelectAgreeNeutralDisagreeThe intern or trainee was reliable and had a good work ethicSelectAgreeNeutralDisagreeThe assigned tasks, activities and projects have been conducted well by the exchange visitorSelectAgreeNeutralDisagreeWe were able to follow the training plan closelySelectAgreeNeutralDisagreeThe intern actively and enthusiastically participated in American cultural activitiesSelectAgreeNeutralDisagreeThe exchange visitor made a positive contribution to the companySelectAgreeNeutralDisagreeThe level of contact I have had with the J-1 visa sponsor before and throughout the training program has been adequateSelectAgreeNeutralDisagreeThe J-1 visa sponsor has answered my questions and addressed any concerns in a timely mannerSelectAgreeNeutralDisagreeI would recommend the J-1 visa sponsor to future interns and traineesSelectAgreeNeutralDisagreePlease name a few cultural activities your company let the exchange visitor be part ofUpload Cultural Activity PhotosDrag and Drop (or) Choose FilesPlease upload a current workers' compensation certificate if the policy on file has expired. This is important to complete your caseDrag and Drop (or) Choose FilesCommentsToday's DateBy clicking submit, I declare that I'm the person filling out this form, and that the information given is correct and complete to the best of my knowledge.Submit
