Student No in Tongji University.

Student Name

College/department/Subject

Duration of stay

From: yy/ mm/ dd

To: yy/ mm/ dd

The information of host institution (Country/Institution Name/College/Address)

Research field in host institution

Supervisor in host institution

Contact information (Phone, email)

Have the visiting student given any presentation regarding to own professional background in workshop or seminar? When? Where? How many participants? Please specify:

1. Self-description about the visiting in host institution

(Have you completed all tasks according to the research plan? If yes, how did you accomplish? Any excellent outcome, please specify. If no, what contributed to the failure?)

Signature:

Date:

2. Evaluation from the supervisor of host institution

Thank you for taking the time to complete this important form. This form is due at the end of the student’s academic visiting study project. Please sign the completed evaluation.

Evaluation form key:

1=unsatisfactory; 2=needs improvement; 3=satisfactory; 4=above average; 5=outstanding

_____ Quality of academic visiting study and research (accurate and thorough)

_____ Quantity of academic visiting study and research (met goals set by department)

_____ Use of time (efficient/effective use of time to complete tasks)

_____ Initiative (ability to finish study and research independently)

_____ Communication skills： _____ Verbal； _____ Written

_____ Grasp of subject (understanding of applicable standards and procedures)

_____ Interpersonal relations/teamwork (effectiveness in working with peers and supervisors)

_____ Adaptability (ability to alter activities to accommodate change)

_____ Dependability ： _____ Punctuality； _____ Attendance

_____ Problem solving/critical thinking skills

Others:_______________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Strengths of the student:_______________________________________________________________________ ______________________________________________________________________________________________

______________________________________________________________________________________________

Areas for improvement, any suggestion? :______________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Did he/she have chance to give information regarding to his/her research interests, dissertation or scientific research in China? How do you evaluate it? ______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

What do you think the student gained from the academic visiting study and research project?

____________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________

Overall, I would rank the student’s performance (Please mark “√” on the following response):

□EXCELLENT □ABOVE AVERAGE □AVERAGE □BELOW AVERAGE

Evaluator Signature: _____________________________________________ Date ____/____/____

Evaluator Title: _______________________________________________ Host Department Stamp

国内导师对学生访学评语：

（可自行加页）

导师签名：

日期 :

所在院系对学生访学评述：

院系负责人签名（盖章）：

日期 :