[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 208.56, "t": 654.96, "r": 402, "b": 640.8 }, "text": "J-1 Scholar Program Evaluation Form", "reading_order": 0, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 69.36, "t": 621.36, "r": 223.68, "b": 606.96 }, "text": "To be completed by supervisor", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "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": 2 }, { "page": 1, "type": "TEXT", "location": { "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.", "links": [ { "uri": "mailto:eric.yang@kysu.edu", "dest": null, "action_type": "/URI", "bbox": [ 284.15, 472.62, 387.41, 489.18 ] } ], "reading_order": 3 }, { "page": 1, "type": "TEXT", "location": { "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": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 69.6, "t": 389.52, "r": 538.32, "b": 374.16 }, "text": "Evaluation period:___(mm/dd/yyyy) to___(mm/dd/yyyy)", "reading_order": 5 }, { "page": 1, "type": "TEXT", "location": { "l": 68.88, "t": 355.2, "r": 358.56, "b": 341.04 }, "text": "Name of J-1 scholar: ___", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 69.36, "t": 338.16, "r": 500.4, "b": 324.72 }, "text": "Program activity: ___", "reading_order": 7 }, { "page": 1, "type": "TEXT", "location": { "l": 69.6, "t": 322.32, "r": 409.2, "b": 307.68 }, "text": "Expected program end date:___(mm/dd/yyyy)", "reading_order": 8 }, { "page": 1, "type": "TEXT", "location": { "l": 69.6, "t": 290.16, "r": 432.72, "b": 275.52 }, "text": "Overall rating: Excellent Good Poor", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 69.12, "t": 256.56, "r": 258.48, "b": 241.2 }, "text": "If poor, describe improvement plans:", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 69.84, "t": 190.08, "r": 264.24, "b": 175.44 }, "text": "Check as applicable to the J-1 scholar:", "reading_order": 11 }, { "page": 1, "type": "TEXT", "location": { "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": 12 }, { "page": 1, "type": "TEXT", "location": { "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": 13 }, { "page": 1, "type": "TITLE", "location": { "l": 227.76, "t": 84.72, "r": 395.28, "b": 70.8 }, "text": "IN ALL THINGS EXCELLENCE", "reading_order": 14, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "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": 15 } ] }, { "page": 2, "items": [ { "page": 2, "type": "TEXT", "location": { "l": 168.24, "t": 721.44, "r": 295.44, "b": 695.76 }, "text": "Office of International Affairs\nCooperative Extension Building 109", "reading_order": 0 }, { "page": 2, "type": "TEXT", "location": { "l": 70.32, "t": 669.84, "r": 89.52, "b": 656.88 }, "text": "Yes\nNo Has been participating in cultural activities as required by the J-1 federal regulations", "reading_order": 1 }, { "page": 2, "type": "TEXT", "location": { "l": 125.04, "t": 669.6, "r": 525.12, "b": 638.4 }, "text": "No Has been participating in cultural activities as required by the J-1 federal regulations", "reading_order": 2 }, { "page": 2, "type": "TEXT", "location": { "l": 70.08, "t": 608.4, "r": 196.32, "b": 594.24 }, "text": "List of cultural activities:", "reading_order": 3 }, { "page": 2, "type": "TEXT", "location": { "l": 69.12, "t": 512.88, "r": 401.28, "b": 498.24 }, "text": "Supervisor's name___", "reading_order": 4 }, { "page": 2, "type": "TEXT", "location": { "l": 69.12, "t": 482.64, "r": 436.08, "b": 467.04 }, "text": "Title:_____ Department:_____", "reading_order": 5 }, { "page": 2, "type": "TEXT", "location": { "l": 69.84, "t": 451.2, "r": 443.76, "b": 434.88 }, "text": "Email:_____Phone: __________ _____", "reading_order": 6 }, { "page": 2, "type": "TEXT", "location": { "l": 67.44, "t": 420.48, "r": 449.76, "b": 404.4 }, "text": "Signature: _____ Date: _____", "reading_order": 7 } ] } ]