ICEO - WAT Final Evaluation

Final Evaluation

Participant Information

Social Security#

- -

Last Name:

First Name:

Middle Initial:

DS-2019 #:

Date of Birth (mm/dd/yyyy):

U.S. Address :

(do not enter the address of your employer)

City:

State:

Zip:

Participant's phone number:

Employer Information

Employer:

Employer Address:

City:

State:

Zip:

Supervisor's Name:

Supervisor's Phone:
(555-555-5555)

- -

Employment

Start date of employment in the US (mm/dd/yyyy)

End date of employment in the US. (mm/dd/yyyy)

Beginning employment position :

Ending employment position:

Did you have any additional jobs other than your first job provided to ICEO?

Yes No

If YES, please indicate how many positions you held

1 2 3+

Did you complete the entire program with your first job?

YES NO

If NO, please indicate why:

How many hours per week did you work?

5 to 10 11 to 20 21 to 30 31 to 40 over 40

How much money did you earn per week (before tax deduction)?

under $50

$100 to $200

$201 to $300

$301 to $400

$401 to $500

$501 to $600

$601 to $700

$701 or more

What were you total earnings during the Work & Travel Program (before tax deductions)?

under $500

$501 to $1500

$1501 to $2500

$2501 to $3500

$3501 to $4500

$4501 to $5500

$5501 to $6500

$6501 or more

How many weeks did you work during the program?

1 to 2 3 to 4 5 to 6 7 to 8

9 to 10 11 to 12 12 or more

Additional comments:

Housing

Did you use the Post Arrival Guide to find housing?

YES NO

If YES, did you find it helpful?

YES NO

How many weeks did it take you to find permanent housing?

1-2 3-4 5-6 7-8 9-10 11-12

I stopped looking

Did you utilize ICEO's Regional Rep. Assistance for housing?

YES NO

If YES, how many weeks did it take to receive your housing?

1-2 3-4 5-6 7-8 9-10 11-12

How long did you stay in your temporary housing before moving to permanent housing (in weeks)?

1 2 3 4

I stayed in the temporary housing location for the entire program

What type of accommodations did you stay in during the program?

Employer housing Apartment Hotel/Motel Hostel

Other

What was the cost of your accommodations per month (if you shared housing please just provide what your share of rent was)?

	Less than $100		$100-$150
	$150-200		$200-$250
	$250-$300		$300-$350
	$350-$400		More than $400

What was the distance from your accommodations to your employer?

Less than 5 minutes 5-10 minutes 10-15 minutes

15-20 20-25 More than 25 minutes

Additional comments:

Evaluation

Please rate the following questions on a scale of 1 - 4( 1 - poor, 2 - ok, 3 - good, 4 - great)

1. How would you rate ICEO’s Summer Work/Travel Program as a whole?

1 2 3 4

Please provide any comments you may have:

2. How would you rate ICEO’s overseas recruiting partner?

1 2 3 4

3. How would you rate the Embassy process before you arrived to the US?

1 2 3 4

4. How would you rate your home country agency’s international air flight assistance?

1 2 3 4

5. How would you rate your international flight to the US?

1 2 3 4

6. How would you rate the Post Arrival Guide provided by ICEO?

1 2 3 4

7. How would you rate the transportation from the airport to your host site destination?

1 2 3 4

8. How would you rate ICEO’s employer?

1 2 3 4

9. How would you rate your orientation?

1 2 3 4

10. How would you rate ICEO’s residents and local office assistance?

1 2 3 4

11. How would you rate ICEO’s emergency assistance system?

1 2 3 4

12. How would you rate communication with ICEO’s regional team?

1 2 3 4

13. How would you rate ICEO’s headquarter staff service?

1 2 3 4

14. How would you rate the housing arrangements and assistance?

1 2 3 4

15. How would you rate your summer job?

1 2 3 4

16. How would you rate the atmosphere in your work place?

1 2 3 4

17. How would you rate your experience during the ICEO Summer Work/Travel Program?

1 2 3 4

18. How would you rate the increase in your knowledge of the US, upon completion of the program?

1 2 3 4

19. How would you rate the entire administration of the ICEO Summer Work/Travel Program?

1 2 3 4

20. How would you rate the cross-cultural activities available during your program?

1 2 3 4

21. What is the most important thing you have gained from participating in the ICEO Summer Work/Travel Program?

22. Would you like to take part in the ICEO Summer Work/Travel Program again?

1 2 3 4

23. Would you use the same overseas recruitment agency in yoru home country?

1 2 3 4

24. Would you recommend the ICEO Summer Work/Travel Program to other students in your home country?

1 2 3 4

25. Would you say taking part in the ICEO Summer Work/Travel Program was a valuable experience?

1 2 3 4

26. Please list 3 things that you would change about the ICEO Summer Work/Travel Program and why:

1.


Why:


2.


Why:


3.


Why:

By clicking here, I confirm I am the person above and have completed this form to the best of my ability

Thank you for helping us in improving the
program for you and your fellow students !
We look forward to seeing you again.




	WAT Program Definition

	Social Security & Taxes

	Eligible and Ineligible Jobs

	Travel Options



	ICEO WAT:

	Jobs

	Dates and Deadlines

	Orientation

	Insurance

	Housing

	Emergency Contact

	Download Forms

	Program Extensions

	Monthly Activity Report

	Final Evaluation


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