J1 Academic Training Evaluation

Please fill out the information below whenever you end employment on Academic Training.

Name(Required)

First Last

Date of Birth(Required)

Telephone Number

Email Address(Required)

Employer Name(Required)

Position Start Date(Required)

Position End Date(Required)

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

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