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International Student Services
J1 Academic Training Evaluation
J1 Academic Training Evaluation
Personal Information
Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Telephone Number
Email Address
(Required)
Academic Training (AT) Information
Employer Name
(Required)
Position Start Date
(Required)
MM slash DD slash YYYY
Position End Date
(Required)
MM slash DD slash YYYY
Evaluate Academic Training (AT)
How would you rate the J-1 Academic Training experience overall?
(Required)
Excellent
Satisfactory
Unsatisfactory
Please provide a brief summary of how this AT helped you to achieve your stated goals and objectives.
(Required)
I confirm that these statements are accurate and true.
(Required)
Confirm
CAPTCHA
Please check “I’m not a robot” to verify CAPTCHA