District-Supervised Internship Summary Report and Validation
Directions: This Campus-Supervised Internship Summary Report is for your use as a planning worksheet. As you plan out the district-supervised Internship hours, do the following:
  • Include at least one district-supervised activity under each competency.
  • Make sure your district-supervised activities total a minimum of 115 hours per semester
(230 total) as specified in the following domains:
--Domain I School Community Leadership: minimum of 36 hours per semester
--Domain II Instructional Leadership: minimum of 52 hours per semester
--Domain III Administrative Leadership: minimum of 27 hours per semester
Domain I
Brief Description of the Activity
Date of the Activity
Internship
Hours
Competency 001
Compare job description of superintendent and compare it to the evaluation instrument.
April 1, 2011
5 hours
Interview a retired educator and discuss history of the community and schools.
April 8, 2011
3 hours
Meet with school staff members to discuss ethical/unethical behaviors of employees.
April 15, 2011
5 hours
Compile a list of interpersonal skills.
April 22, 2011
4 hours
Attend school board meetings.
2010-2011
27 hours
Competency 002
Analyze the school’s mission statement.
October 29, 2010
4 hours
Review school strategic plan.
November 5, 2010
5 hours
Review how assessment data is used by school district for improvement.
November 12, 2010
3 hours
Choose a current issue in school and steps for a resolution.
December 3, 2010
3 hours
Survey school personnel to assess areas a collaborative decision is reached.
December 10, 2010
2 hours
Competency 003
Review and critique ongoing school communications.
November 19, 2010
2 hours
Interview a person involved with public relations and discuss effective communication
March 3, 2011
3 hours
Examine parent involvement policy and procedures.
March 11, 2011
2 hours
Examine and evaluate school library.
March 18, 2011
3 hours
Interview community leaders and discuss perceptions of the quality of education.
March 25, 2011
3 hours

Required Hours for Domain I: minimum of 36 hours per semester
Internship Hours for Domain I
74 hours


Competency 004
Analyze correlations between superintendent job description and performance standards.
April 1, 2011
5 hours

Note significant historical events that affect the school district today.
April 8, 2011
4 hours

Seek recommendations for policy changes for increased ethical practices.
April 15, 2011
6 hours

Develop a list of people skills throughout the year.
2010-2011
8 hours

List outcomes and decisions at board meetings.
2010-2011
12 hours
Domain II
Competency 005
Interview person with textbook experience.
December 17, 2010
5 hours

Participate in student class scheduling.
June 9, 2011
35 hours

Observe instructional assistant.
January 21, 2011
3 hours

Meet with students to discuss cocurricular activities.
February 18, 2011
3 hours

Attend a special education meeting for an
ARD.
May 6, 2011
3 hours
Competency 006
Compile list of all forms of student recognition.
January 28, 2011
4 hours

Observe the use of technology in the library.
February 4, 2011
2 hours

Lead a team of teachers to study and develop a plan for improving test scores.
February 11, 2011
9 hours

Meet with a group of students to discuss school rules and discipline.
March 11, 2011
3 hours

Compile a list of current issues that affect teaching and learning.
May 20, 2011
3 hours
Competency 007
Analyze staff development plan with respect to school mission and student achievement.
February 25, 2011
6 hours

Meet with district administrators to discuss staff turnover rate and discuss concerns.
February 18, 2011
3 hours

Required Hours for Domain II: minimum of 52 hours per semester
Internship Hours for Domain II
114 hours




Domain III
Competency 008
Compare strengths and weakness of students and teachers and use of technology in the library.
February 4, 2011
4 hours

Review job description and evaluation forms for key office personnel at a school.
March 25, 2011
5 hours

Meet district attendance officer and discuss rules and procedures.
April 1, 2011
5 hours

Complete a requisition for a service or supply item from a budgeted account.
February 25, 2011
4 hours

Visit the NAESP or NASSP websites and make a list of services.
May 27, 2011
3 hours

Compile a list of books and publications recommended by superintendent.
June 3, 2011
3 hours
Competency 009
Meet with head custodian and review job description and responsibilities.
January 28, 2011
6 hours

Observe bus driver during route.
February 4, 2011
3 hours

Observe a food service worker in preparation and delivery of a meal.
February 11, 2011
5 hours
Competency 010
Meet with a current leader involved with implementing a district change.
March 3, 2011
6 hours

Interview a school nurse to discuss major requirements and concerns.
March 18, 2011
4 hours

Choose a current issue and find two groups with opposing views and devise a resolution.
May 13, 2011
8 hours

Required Hours for Domain III: minimum of 27 hours per semester
Internship Hours for Domain III
56 hours



Total campus-supervised hours
244 hours









Intern’s Signature: _ Date: _
Site Supervisor’s Signature: Date: ___

This document must be mailed, faxed, or hand delivered.
MAIL TO:

Lamar University
Attention: Dr. Elvis Arterbury
P.O. Box 10034
Beaumont, TX 77710

FAX TO: 409-880-8685