Employer Interim Extension Evaluation

Instructions

This assessment tool is intended to provide the trainee with feedback concerning his or her personal progress in meeting the goals of the extension training period, as they were initially outlined in the InterExchange Learning Agreement & Training Plan.

Please complete this form halfway through the trainee’s program (i.e.: at the 6 month mark of a 12 month training program.)

Please share your assessments with the trainee before returning this form to InterExchange. It is a U.S. Government requirement that all trainees receive evaluations and feedback from their training supervisor. Thank you.

Trainee First Name:
Trainee Last Name:
Supervisor First Name:
Supervisor Last Name:
Department:
Host Company/Employer:
Please describe how training during the extension period has built upon the original learning objectives i.e. what tasks has the trainee performed during the extension period that built upon skills learned during the original training period?
Has the trainee had any difficulties with the more advanced level of training performed during the extension period?
Please describe any special training (seminars, conferences, on-the-job training, research) that the trainee undertook to reach a more advanced level during the extension period.
Are there specific areas of improvement that the trainee should focus on for the remainder of the extension period?
Date form completed:	Month ---0102 03040506 07080910 1112 Date ---0102030405060708091011121314 1516171819202122232425 262728293031 Year ---20052006