To be completed by supervisor
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.
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.
NOTE: Departments should report any changes in a scholar’s J-1 program to OIA immediately for review and approval.
Evaluation period:___(mm/dd/yyyy) to___(mm/dd/yyyy)
Name of J-1 scholar: ___
Program activity: ___
Expected program end date:___(mm/dd/yyyy)
Overall rating: Excellent Good Poor
If poor, describe improvement plans:
Check as applicable to the J-1 scholar:
Yes No Possesses English language proficiency to conduct J-1activities.
Yes No Is making progress toward a timely, satisfactory completion of the J-1 program.
Kentucky State University is an equal educational and employment opportunity/affirmative action institution.