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Imported Block 1 - Sep 25, 2020
The U.S. State Department’s Bureau of Educational and Cultural Affairs (ECA) would like to ask you a
few questions about your experiences in the Intern/Trainee program. The goal is to better understand
both successes and challenges of this program.
Please complete this survey by November 30. The survey has 20-25 questions and should take less
than 30 minutes to complete.
Your responses will be anonymous and aggregated with other responses for the reporting purposes.
The results of this survey are for internal ECA use only, and will not be shared publicly.
The only instances when your name may be used are for the purpose of follow-up on specific problems
identified in this survey. The Department of State works with Intern/Trainee exchange visitors when they
have serious concerns about their placement and their sponsor is unwilling or unable to assist them. In
these cases, a member of our team may contact you for additional details and possible follow-up.
Your participation in this survey is voluntary, and you are free to choose not to answer any question. Your
completion of the survey will not affect your eligibility for future Intern/Trainee or other ECA programs.
Contact the ECA Evaluation team ([email protected]) for technical support with the survey
system or inquiries about specific questions.
By clicking “Yes” you confirm that you have read the above consent information and agree to voluntarily
participate in this survey.
Yes - take me to the survey
No - exit the survey
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Please enter the following information
First Name
Middle Name
Last Name
Date of Birth (mm-dd-yyyy)
Email Address
Please select your country of citizenship.
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Please enter SEVIS ID number.
(Found in top right-hand corner of your DS-2019 form)
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Please enter current U.S. city
Please select current U.S. state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Please select occupational category.
Agricultural/Forestry/Fishing
Arts & Culture
Construction/Building Trades
Education/Social Science/Library Science/Counseling/Social Services
Health-Related Occupations
Hospitality & Tourism
Information Media & Communications
Management/Business/Commerce/Finance
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Public Administration & Law
Sciences/Engineering/Architecture/Mathematics/Industrial Occupation
Do you currently have access to a computer or cell phone?
Yes
No
Please specify your device. Check all that apply.
Cell phone
Smart phone
Tablet
Computer with microphone
Computer with microphone and camera
Other (please describe)
How long have you participated in the Intern/Trainee program? Please indicate
number of months.
0
2
5
7
9
11
14
16
18
Number of months
as Intern/Trainee
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Given current COVID-19 restrictions, what cultural activities have you participated
in?
Virtual meet and greets
Virtual meetings with other Americans
Virtual meetings with other Intern/Trainees
Socially distanced outdoor activities
Celebrating holidays
Other
None
Do you feel safe and comfortable in your housing?
Yes
No
Please explain why you do not feel safe and/or comfortable. Check all that apply.
Rent too high
Not enough bedrooms
Too far from host organization
Far away from public transportation
Far away from local attractions
Doors do not lock
Neighborhood is unsafe
Other (please describe)
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Please indicate your level of satisfaction with the training activities at your host site.
Extremely satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Extremely dissatisfied
Please explain why you are dissatisfied. Check all that apply.
Training activities do not match training plan
Have not advanced to different phases in accordance with training plan
Performing unskilled labor
Used as substitute for American employees
Other (please describe)
Does your training plan match with what you are doing at the host site?
Always
Most of the time
About half the time
Sometimes
Never
Do you feel your program is providing you with genuine training, regular work, or is
it some of both?
Genuine training
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Regular work
Some of both
Please indicate your level of satisfaction with your sponsor.
Extremely satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Extremely dissatisfied
Please explain why you are dissatisfied. Check all that apply.
Did not help with host organization problems
Did not respond to questions
Did not help with medical questions
Does not regularly contact me
Other (please describe)
How often do you communicate with your sponsor?
Daily
Weekly
Monthly
Quarterly
Other (please describe)
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How much did participation in the program change your understanding or
knowledge of the following topics?
No change
Minimal change
Moderate change
Substantial
change
United States values
and culture
Daily life in the United
States
Religious and ethnic
diversity in the United
States
Freedom of speech and
press in the United
States
Overall, how would you describe your Intern/Trainee program experience?
Extremely positive
Somewhat positive
Neither positive nor negative
Somewhat negative
Extremely negative
Please select the primary reason(s) for your negative experience. Check all that
apply.
Host organization concerns
Training plan concerns
Supervisor concerns
Other (please describe)
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Do you have any additional comments or concerns you would like to share with
us? Please describe.
Please take note of the below emergency contact informa on:
Exchange Visitor Program
Emergency Hotline: 24/7 toll-free: 1-866-283-9090
Email/General Inquires: [email protected]
Regulations: J-1 Visa Program
Website: http://j1visa.state.gov
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| File Type | application/pdf |
| File Modified | 2021-03-30 |
| File Created | 2020-12-11 |