Academic Training Evaluation (Supervisor)

Academic Training evaluations are a requirement of the U.S. Department of State.

The supervisor must submit the end-of-program evaluation one week prior to the end of the Academic Training or, if applicable, before an application to extend Academic Training is submitted by the student.

Supervisors can print to PDF or screen shot their evaluations to discuss with the student.

Question 1

Please type the student's first and last name below.

Student's First Name
Student's Last Name

Question 2

Please indicate the start and end dates of the academic training.

Start date (MM/DD/YYYY):
End date (MM/DD/YYYY):

Question 3

Is this an end-of-program evaluation or an extension evaluation (i.e. the student is applying to extend their AT at your organization)?

Extension
End-of-program

Question 4

Please type your first and last name below.

Supervisor's First Name
Supervisor's Last Name

Question 5

Please fill in your information below.

Supervisor's Title:
Supervisor's Phone (000-000-0000):
Supervisor's Email:
Organization Name:

Question 6

Please evaluate the student's performance. Does this student meet expectations on specific objectives outlined on their Academic Training application?

Exceeds expectations
Meets expectations
Partially meets expectations
Does not meet expectations

Question 7

Please tell us why you chose the response above. (Required)

Questions 8 - 13

Please indicate how much you agree or disagree with the following statements.

Because of this Academic Training experience, your student gained:

	Strongly agree	Agree	Slightly agree	Slightly disagree	Disagree	Strongly disagree	I did not have an opportunity to observe
Confidence to navigate a U.S. work environment
Opportunities to share their culture or country with others in the workplace
New skills that will further their career
Professional connections that further their career
Practical experience related to their field of study
New knowledge related to the organization or industry in which you work