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1. Trainee/Intern Name:*(Required)
2. Host Employer:*(Required)
3. Supervisor Name:*(Required)
4. Department:*(Required)
5. Please comment on how the extension period was used to complete/advance the
goals set forth in the original Training/Internship Placement Plan. How has the
Trainee/Intern grown professionally during the extension period? *(Required)
setbacks? *(Required)
7. Please describe how the hosting of a Trainee/Intern has affected your company or
department. Did the Trainee/Intern provide views or ideas that enhanced your
company in a way that could not have been found in an American employee?
*(Required)
8. Please share the overall satisfaction that you, as an employer, had with your
hosting of a Trainee/Intern. Were colleagues pleased with the outcome of hosting
a trainee for an extended period of time? Would you be interested in hosting
another Trainee/Intern? *(Required)
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