ICEO - U.S. Outbound

Internship / Training

Participant Mid-Point Evaluation

Instruction:

Federal regulations require that all Trainees/Interns complete an Evaluation at the midpoint of their Training/Internship program. The purpose of this evaluation form is to help you reflect upon your program goals at the midpoint of your program, as outlined in the Program Placement Plan you and your host company submitted with your application. It is also meant to assist ICEO in evaluating the efforts of your host company to provide you with bona fide program during your stay in the US. Please complete this evaluation at the midpoint of your program and share your comments with your host employer before submitting the evaluation to ICEO. Thank you.

Last Name:

First Name:

Address:

Email Address:

DS Form:

Phone Number:

Program Field:

Host Company:

Supervisor's Last Name:

Supervisor's First Name:

Supervisor's Title:

Supervisor's Address:

Supervisor's Email Address:

Supervisor's Phone Number:

Supervisor's Fax Number:

Participant Mid-Point Program Evaluation Survey

Rating system:

1-Poor, 2-Below Average, 3-Average, 4-Good, 5-Exellent

1. How is your overall experience on your program ?

1 2 3 4 5

2.The program I am receiving reflects my original Placement Plan ?

yes no

3.The placement at the host company meets my expectations.

1 2 3 4 5

4. My relationship with my Supervisor(s) is ?

1 2 3 4 5

5. My relationship with my colleagues is ?

1 2 3 4 5

6. Is the program to date what you expected ?

yes no

7. Please list the most significant new or improved skills you developed/gained during the program to date:

8. What is the most significant and important part of your program to date?

9. List the 4 most significant things about your host company:

10. Would you recommend ICEO's program to others ?

yes no

11.Have you contacted ICEO for information or support services at any time to date?

yes no

12. Please rate your satisfaction with the support services provided by ICEO ?

1 2 3 4 5

13. Please rate your satisfaction with the support services provided by ICEO regional staff ?

1 2 3 4 5

14. How is the ICEO’s structured program enhancing your professional skills to date?

1 2 3 4 5

15. How is the ICEO’s structured program improving your knowledge of American techniques, methodologies and expertise within your field of endeavor?

1 2 3 4 5

16. How is the ICEO’s program enabling you to better understand American culture and society?

1 2 3 4 5

17. How do you enhance American knowledge of your culture and skills by providing the open interexchanges of ideas between you and your American colleagues?

1 2 3 4 5

18. Please include any further comments about your program:


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