International Practical Training Program
Interim Evaluation Form - To Be Completed By Trainee

Instructions: The purpose of this evaluation form is to help you reflect upon your efforts so far to meet the goals of the InterExchange International Practical Training Program as outlined in the Learning Agreement & Training Plan you and your host company designed. It is also meant to assist InterExchange in evaluating the efforts of your host company to provide you with a period of bona fide training in your field. Please complete this form at the mid-point of your program and share your comments with your host employer before returning this form to InterExchange. It is a U.S. Government requirement that all trainees complete an interim evaluations of their training program. Thank you.

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

Please evaluate and comment on the following, where appropriate.

1) Please check appropriate box below and comment on the completeness of the pre-arrival materials you received from your host company, regarding your upcoming training program with them.
Excellent Above Average Average Fair Unacceptable *
Comments:

2) Please check appropriate box below and comment on the pre-arrival materials you received from InterExchange: including the DS-2019 form instructions, the Dear Employer Letter, the Participant & Employer Handbooks, and the InterExchange phone card.
Excellent Above Average Average Fair Unacceptable *
Comments:

3) Please check appropriate box below and comment on the arrival orientation you received from your host company: including orientation to the company's organizational structure, it's personnel and operations.
Excellent Above Average Average Fair Unacceptable *
Comments:

4) Please check appropriate box below and comment on your supervisor's ability to explain new tasks clearly. Have your supervisor and colleagues been available to answer your questions and discuss with you the American methods and techniques you were learning during your training program so far?
Excellent Above Average Average Fair Unacceptable *
Comments:

5) Please check appropriate box below and comment on how closely your host company has been following the Learning Agreement & Training Plan that was initially designed for you.
Excellent Above Average Average Fair Unacceptable *
Comments:

6) Please tell us how well you think you adjusted to the American way of life and the American corporate culture. Did you experience any feelings of culture shock at any time?
Excellent Above Average Average Fair Unacceptable *
Comments:

7) Please rate your Training Program in the United States and your overall experience so far. How well has it met your expectations up to this point?
Excellent Above Average Average Fair Unacceptable *
Comments:



Please include any further comments about your training program.




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International Practical Training ProgramInterim Evaluation Form - To Be Completed By Trainee

International Practical Training Program
Interim Evaluation Form - To Be Completed By Trainee