International Practical Training Program
Employer Interim Evaluation Form

Instructions: This assessment tool is intended to provide the trainee with feedback concerning his or her personal progress in meeting the goals of the training program, as they were initially outlined in the InterExchange Learning Agreement & Training Plan. Please complete this form half-way 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. If you prefer to use your own company's assessment materials, please send us a copy of the interim evaluation. Thank you.

Trainee Name: *
Host Employer: *
Supervisor Name: *
Department: *

Supervisor: Please assess the trainee's level on each of the following competencies:

1) Listening & observation skills:
Excellent Above Average Average Fair Unacceptable *
2) Clear communication skills:
Excellent Above Average Average Fair Unacceptable *
3) Able to complete projects independently, but asks thoughtful questions when appropriate:
Excellent Above Average Average Fair Unacceptable *
4) Exhibits professional behavior:
Excellent Above Average Average Fair Unacceptable *
5) Interacts well with co-workers, and is in effective and congenial member of the team:
Excellent Above Average Average Fair Unacceptable *
6) Has a positive attitude and is willing to learn:
Excellent Above Average Average Fair Unacceptable *
7) Is enthusiastic & responsible:
Excellent Above Average Average Fair Unacceptable *
8) Learns new skills quickly & uses them effectively:
Excellent Above Average Average Fair Unacceptable *


Please comment on any progress the trainee has made in reaching the objectives of the training program that were initially outlined in the Learning Agreement & Training Plan. Has the trainee identified similarities/differences in how his/her field is practiced in the U.S. compared to his/her home country? *


Has the trainee had any difficulties adjusting to the American corporate culture and way of life? Has the trainee been willing to share aspects of his/her own culture with colleagues? *


Are there specific areas of improvement that the trainee should focus on for the remainder of the training program? *




InterExchange; Career Training USA 161 Sixth Avenue, New York, NY 10013 Tel: (212) 924-0446 - Fax: (212) 924-0575 - E-mail:training@interexchange.org

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International Practical Training Program Employer Interim Evaluation Form

International Practical Training Program
Employer Interim Evaluation Form