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
Mid-Point Evaluation
TO THE STUDENT: As part of your intern experience, we ask that you evaluate your
placement and your own performance. Please answer all questions and submit this
evaluation to the Office of International Students at the mid-point of your placement.
Intern's Name: EMU ID#:
Employer/Hosting Department:
Work Address:
Supervisor's Name and Title:
Placement Period: to
I.
PLEASE SELECT AN ASNWER FOR EACH CATEGORY
EDUCATIONAL VALUE
RELATIONSHIP WITH SUPERVISOR
HOW THE EXPERIENCE RELATES
TO YOUR GOALS AND OBJECTIVES
LEVEL OF RESPONSIBILITY
II. PLEASE PROVIDE FEEDBACK ON THE FOLLOWING
1. What are the major responsibilities in this placement?
2. List at least two tasks you accomplished.
3. Have there been any problems with the program thus far? Yes No
If yes, please explain the problem(s) and what steps, if any, were taken to
resolve the situation?
Intern's Signature: ______________________________ Date:
