| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character





Questions for the Trainee or Intern:


Please rate your satisfaction with the following:













Questions for the Supervisor or a Host Company representative




How would you rate your satisfaction with the following?




Further Communication Request

The signatures below indicate that the trainee/intern and a supervisor or host company representative have completed this application together:






Thank you for taking the time to complete this evaluation!
Please email a copy of this completed evaluation form AND a copy of your travel itinerary (airplane, bus, driving, etc) to: j1forms@aiesecus.org



Staying Connected!
If you are interested in sharing stores about your experience or staying connected with your greater J-1 community, we are happy to help! After you program concludes, please consider contributing to the U.S. Department of State's blog, Route J-1 , and be sure to join the International Exchange Alumni
Save my progress and resume later | Resume a previously saved form

Contact Information