{ "document_id": 16581, "filename": "J1-program-evaluation-form.pdf", "engine": "paddleocr_vl", "source_run_id": 16692, "generated_at": "2026-11-04T23:52:57+00:00", "page_count": 2, "counts_by_type": { "figure": 6, "footer": 2, "form_field": 5, "header": 5, "heading": 3, "link": 1, "text": 20 }, "timings": { "total_ms": 619, "structure_ms": 93, "text_layer_ms": 12, "build_ms": 3 }, "pages": [ { "document_id": 16581, "page": 1, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 16692, "item_count": 25, "counts_by_type": { "figure": 3, "form_field": 2, "header": 3, "heading": 2, "link": 1, "text": 14 }, "build_ms": 2, "items": [ { "id": "p1.1", "order": 1, "type": "figure", "bbox": { "l": 74.4, "t": 768.24, "r": 151.44, "b": 718.8 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p1.2", "order": 2, "type": "header", "bbox": { "l": 156.24, "t": 761.04, "r": 384.72, "b": 737.28 }, "text": "KENTUCKY STATE UNIVERSITY", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p1.3", "order": 3, "type": "header", "bbox": { "l": 168.48, "t": 721.2, "r": 294.72, "b": 696 }, "text": "Office of International Affairs\nCooperative Extension Building 109", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 2 }, { "id": "p1.4", "order": 4, "type": "header", "bbox": { "l": 437.04, "t": 758.88, "r": 535.92, "b": 737.28 }, "text": "400 EAST MAIN STREET\nFRANKFORT, KENTUCKY 40601", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 3 }, { "id": "p1.5", "order": 5, "type": "figure", "bbox": { "l": 71.4, "t": 777, "r": 540, "b": 711.75 }, "text": "", "attrs": { "source": "pdf_image" }, "reading_order": 4 }, { "id": "p1.6", "order": 6, "type": "heading", "bbox": { "l": 208.56, "t": 654.96, "r": 402, "b": 640.8 }, "text": "J-1 Scholar Program Evaluation Form", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 5 }, { "id": "p1.7", "order": 7, "type": "text", "bbox": { "l": 69.36, "t": 621.36, "r": 223.68, "b": 606.96 }, "text": "To be completed by supervisor", "reading_order": 6 }, { "id": "p1.8", "order": 8, "type": "text", "bbox": { "l": 68.16, "t": 588.24, "r": 507.36, "b": 539.52 }, "text": "J·1 scholars must make normal progress in their exchange program and complete all J·1 activities by the end date on their Forms DS-2019. This form is designed to assist you in discussing and evaluating a J·1 scholar's program activities.", "reading_order": 7 }, { "id": "p1.9", "order": 9, "type": "text", "bbox": { "l": 68.88, "t": 522, "r": 537.36, "b": 456.72 }, "text": "Please meet with your ]-1scholar to discuss their progress before completing this form. Email a signed copy of this form, together with a one-page summary outlining the scholar's progress and accomplishment to OIA Director and RO at eric.yang@kysu.edu within 10 business days after receiving an email reminder.", "children": [ { "id": "p1.9.1", "order": 10, "type": "link", "bbox": { "l": 284.15, "t": 489.18, "r": 387.41, "b": 472.62 }, "text": "eric.yang@kysu.edu", "attrs": { "uri": "mailto:eric.yang@kysu.edu", "action_type": "/URI" }, "reading_order": 0 } ], "reading_order": 8 }, { "id": "p1.10", "order": 11, "type": "text", "bbox": { "l": 68.88, "t": 439.44, "r": 534, "b": 407.28 }, "text": "NOTE: Departments should report any changes in a scholar’s J-1 program to OIA immediately for review and approval.", "reading_order": 9 }, { "id": "p1.11", "order": 12, "type": "text", "bbox": { "l": 69.6, "t": 389.52, "r": 538.32, "b": 374.16 }, "text": "Evaluation period:___(mm/dd/yyyy) to___(mm/dd/yyyy)", "reading_order": 10 }, { "id": "p1.12", "order": 13, "type": "text", "bbox": { "l": 68.88, "t": 355.2, "r": 358.56, "b": 341.04 }, "text": "Name of J-1 scholar: ___", "children": [ { "id": "p1.12.1", "order": 14, "type": "form_field", "bbox": { "l": 72.264, "t": 355.7844, "r": 357.2609, "b": 342.2023 }, "text": "", "attrs": { "field_kind": "text", "label": "Name of J-1 scholar: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p1.12" }, "reading_order": 0 } ], "reading_order": 11 }, { "id": "p1.13", "order": 15, "type": "text", "bbox": { "l": 69.36, "t": 338.16, "r": 500.4, "b": 324.72 }, "text": "Program activity: ___", "children": [ { "id": "p1.13.1", "order": 16, "type": "form_field", "bbox": { "l": 72.264, "t": 339.2244, "r": 499.4791, "b": 325.6423 }, "text": "", "attrs": { "field_kind": "text", "label": "Program activity: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p1.13" }, "reading_order": 0 } ], "reading_order": 12 }, { "id": "p1.14", "order": 17, "type": "text", "bbox": { "l": 69.6, "t": 322.32, "r": 409.2, "b": 307.68 }, "text": "Expected program end date:___(mm/dd/yyyy)", "reading_order": 13 }, { "id": "p1.15", "order": 18, "type": "text", "bbox": { "l": 69.6, "t": 290.16, "r": 432.72, "b": 275.52 }, "text": "Overall rating: Excellent Good Poor", "reading_order": 14 }, { "id": "p1.16", "order": 19, "type": "text", "bbox": { "l": 69.12, "t": 256.56, "r": 258.48, "b": 241.2 }, "text": "If poor, describe improvement plans:", "reading_order": 15 }, { "id": "p1.17", "order": 20, "type": "text", "bbox": { "l": 69.84, "t": 190.08, "r": 264.24, "b": 175.44 }, "text": "Check as applicable to the J-1 scholar:", "reading_order": 16 }, { "id": "p1.18", "order": 21, "type": "text", "bbox": { "l": 68.88, "t": 156.96, "r": 466.08, "b": 143.04 }, "text": "Yes No Possesses English language proficiency to conduct J-1activities.", "reading_order": 17 }, { "id": "p1.19", "order": 22, "type": "text", "bbox": { "l": 70.08, "t": 140.4, "r": 497.76, "b": 109.68 }, "text": "Yes No Is making progress toward a timely, satisfactory completion of the J-1 program.", "reading_order": 18 }, { "id": "p1.20", "order": 23, "type": "figure", "bbox": { "l": 96, "t": 96.897, "r": 515.25, "b": 51.147 }, "text": "", "attrs": { "source": "pdf_image" }, "reading_order": 19 }, { "id": "p1.21", "order": 24, "type": "heading", "bbox": { "l": 227.76, "t": 84.72, "r": 395.28, "b": 70.8 }, "text": "IN ALL THINGS EXCELLENCE", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 20 }, { "id": "p1.22", "order": 25, "type": "text", "bbox": { "l": 117.6, "t": 67.92, "r": 504.48, "b": 55.68 }, "text": "Kentucky State University is an equal educational and employment opportunity/affirmative action institution.", "reading_order": 21 } ] }, { "document_id": 16581, "page": 2, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 16692, "item_count": 17, "counts_by_type": { "figure": 3, "footer": 2, "form_field": 3, "header": 2, "heading": 1, "text": 6 }, "build_ms": 1, "items": [ { "id": "p2.1", "order": 1, "type": "figure", "bbox": { "l": 74.4, "t": 768, "r": 151.68, "b": 718.8 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p2.2", "order": 2, "type": "header", "bbox": { "l": 155.76, "t": 760.8, "r": 384.72, "b": 737.52 }, "text": "KENTUCKY STATE UNIVERSITY", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p2.3", "order": 3, "type": "header", "bbox": { "l": 437.04, "t": 759.12, "r": 535.92, "b": 737.04 }, "text": "400 EAST MAIN STREET\nFRANKFORT, KENTUCKY 40601", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 2 }, { "id": "p2.4", "order": 4, "type": "figure", "bbox": { "l": 71.4, "t": 777, "r": 540, "b": 711.75 }, "text": "", "attrs": { "source": "pdf_image" }, "reading_order": 3 }, { "id": "p2.5", "order": 5, "type": "text", "bbox": { 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"p2.8" }, "reading_order": 0 } ], "reading_order": 7 }, { "id": "p2.9", "order": 10, "type": "text", "bbox": { "l": 69.12, "t": 482.64, "r": 436.08, "b": 467.04 }, "text": "Title:_____ Department:_____", "children": [ { "id": "p2.9.1", "order": 11, "type": "form_field", "bbox": { "l": 72.024, "t": 482.0444, "r": 434.0522, "b": 468.4623 }, "text": "", "attrs": { "field_kind": "text", "label": "Title:_____ Department:_____", "source": "blank_line", "label_source": "parent_text", "label_ref": "p2.9" }, "reading_order": 0 } ], "reading_order": 8 }, { "id": "p2.10", "order": 12, "type": "text", "bbox": { "l": 69.84, "t": 451.2, "r": 443.76, "b": 434.88 }, "text": "Email:_____Phone: __________ _____", "children": [ { "id": "p2.10.1", "order": 13, "type": "form_field", "bbox": { "l": 72.024, "t": 450.3644, "r": 442.9331, "b": 436.7823 }, "text": "", "attrs": { "field_kind": "text", "label": "Email:_____Phone: __________ _____", "source": "blank_line", "label_source": "parent_text", "label_ref": "p2.10" }, "reading_order": 0 } ], "reading_order": 9 }, { "id": "p2.11", "order": 14, "type": "text", "bbox": { "l": 67.44, "t": 420.48, "r": 449.76, "b": 404.4 }, "text": "Signature: _____ Date: _____", "reading_order": 10 }, { "id": "p2.12", "order": 15, "type": "figure", "bbox": { "l": 96, "t": 96.897, "r": 515.25, "b": 51.147 }, "text": "", "attrs": { "source": "pdf_image" }, "reading_order": 11 }, { "id": "p2.13", "order": 16, "type": "footer", "bbox": { "l": 228.24, "t": 84.48, "r": 395.52, "b": 70.56 }, "text": "IN ALL THINGS EXCELLENCE", "attrs": { "block_label": "footer" }, "reading_order": 12 }, { "id": "p2.14", "order": 17, "type": "footer", "bbox": { "l": 117.84, "t": 67.92, "r": 504.24, "b": 55.68 }, "text": "Kentucky State University is an equal educational and employment opportunity/affirmative action institution.", "attrs": { "block_label": "footer" }, "reading_order": 13 } ] } ] }