The Home for International Advising, Activities, and Assistance
EMU Office of International Students 244 Student Center www.emich.edu/ois tel: 1(734)487-3116 fax: 1(734)487-0303
J-1 Student Intern Program
Final Evaluation
As a component of the program evaluation process, the employer or the hosting department
must evaluate the progress and performance of the J-1 student intern prior to the
completion of the internship. The employer or the hosting department must complete and
sign Part I of the form and the intern must complete Part II and submit the evaluation to the
Office of International Students before the end of the internship.
PART I (to be completed by the employer/hosting department)
Evaluate the intern's performance on the tasks outlined in the
training plan
Comments:
Were there any problem areas that should be addressed to improve the experience
of future interns? Yes No
*If yes, please comment:
How would you rate the overall Student
Intern program and its benefits to you and
the company/department?
Intern's Name:
Employer/Hosting Department:
Supervisor's Name and Title:
Placement Period: to
Comments:
Supervisor's Signature: ____________________________ Date:
The Home for International Advising, Activities, and Assistance
EMU Office of International Students 244 Student Center www.emich.edu/ois tel: 1(734)487-3116 fax: 1(734)487-0303
PART II (to be completed by the intern)
I.
SELF- EVALUATION (Please select an answer for each category)
II.
PLEASE SELECT AN ASNWER FOR EACH CATEGORY
EDUCATIONAL VALUE
RELATIONSHIP WITH SUPERVISOR
HOW THE EXPERIENCE RELATES
TO YOUR GOALS AND OBJECTIVES
LEVEL OF RESPONSIBILITY
ATTITUDE TOWARDS JOB
MY WORK COLLEAGUES WOULD
SAY I
QUALITY OF WORK PRODUCED
BASED ON THIS INTERNSHIP
EXPERIENCE I AM
III. PLEASE PROVIDE FEEDBACK ON THE FOLLOWING
Intern's Name: EMU ID#:
Employer/Hosting Department:
Work Address:
Supervisor's Name and Title:
Placement Period: to
How would you rate the overall training program and its
benefits to you?
Were any problems encountered during the program? Yes No
*If yes, please explain the problem(s) and what steps if any, were taken to resolve the
situation.
What was the most rewarding aspect of your internship experience?
The Home for International Advising, Activities, and Assistance
EMU Office of International Students 244 Student Center www.emich.edu/ois tel: 1(734)487-3116 fax: 1(734)487-0303
Would you recommend this employer/department to another student? Why or why
not?
Any additional comments or suggestion:
Intern's Signature: __________________________ Date:
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