KoreaWEST Final Evaluation Form

Participant Name

First Last

Participant AAG ID Number

Participant DS-2019 Number

Name of Host Company

Name of Supervisor

First Last

1. Level of Satisfaction with the Program*

Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied

2. Training Plan Completion*

Completed additional training
Completed all phases ahead of schedule
Completed all phases on time
Struggled to complete all phases
Failed to complete all phases

3. Level of Satisfaction with your Placement*

Could not be more satisfied
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied

4. What do you consider to be the best aspect of the J-1 Internship Program?*

5. What are the top strengths you think that you have gained while on the program?*

6. How will you apply what you have learned in the future, professionally and personally?*

7. What cultural activity(s)/opportunity(s) have you experienced during the last months of your program?*

8. Will you be willing to refer the program to some other international participants?*

Yes
No

The electronic signatures below indicate that the Intern/Trainee and Host Company representative have completed this evaluation together and agree to all points.

Particpant's Name*

First Last

Signature*

Supervisor's Name*

First Last

Signature*

Date*