ࡱ> DFC ]bjbj H] >>$(******}N*"*!?^((`xnU0mn^mmH**m> G:  Pine Dale Hall, Suite 7123 285 Old Westport Road North Dartmouth, MA 02747 Phone: 508-910-6633 Fax: 508-910-6588 Email: INTL_OFFICE@umassd.edu In accordance with U.S. Department of State egulations, the hosting professor of a UMass Dartmouth J-1 student intern must provide an evaluation of the interns time with us. The timing of a program evaluation depends on the length of the internship. For internships less than 3 months, the evaluation must be submitted at the conclusion of the internship. If an extension request is made on behalf of the intern, a completed intern evaluation must be submitted with the request for program extension. Extensions will not be granted to interns whose program evaluations have not been submitted. Host professors must be current on intern evaluations for all interns under their sponsorship to have J-1 applications processed for a new intern. The hosting professor should fill out Part I completely and then review the evaluation with the intern. The intern should then fill out and sign Part II before leaving the US. PART I (this section must be completed by the host professor) J-1 Student Intern Evaluation Form Name of Intern______________________________________________________________________ Name of Faculty Sponsor_____________________________________________________________ Email Address and phone extension of Faculty Sponsor____________________________________ Period of Internship__________________________________________________________________ Area of Research____________________________________________________________________ Please identify some ways in which this experience fulfills the educational objectives for the student interns current degree program at the home institution. Please identify some ways in which the student interns knowledge was expanded through participation in American techniques, methodologies, and technology different from those available at the home institution. Any deficiencies or problem areas that should be addressed? Overall evaluation of interns performance related to the specific objectives as outlines in the Training Plan. 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