Please fill out the information below whenever you end employment on Academic Training. Required fields are marked with a red asterisk. “The sponsor must evaluate the effectiveness and appropriateness of the academic training in achieving the stated goals and objectives in order to ensure the quality of the academic training program.” [22 CFR 62.23(f)(6)] Last Name * Given Name * Date of Birth * SEVIS ID * Current U.S. Address & Contact Information Address 1 * Address 2 City * State * Zip Code * Telephone Number * Email Address * Academic Training (AT) Information Employer Name * AT Start Date * AT End Date * Evaluate Academic Training (AT) How would you rate the J-1 Academic Training experience overall? * Excellent Satisfactory Unsatisfactory Please provide a brief summary of how this AT helped you to achieve your stated goals and objectives * I confirm that these statements are accurate and true. * confirm