Supervised+Summary+Report

(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 ||
 * **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__**
 * 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 005 || Interview person with textbook experience. || December 17, 2010 || 5 hours || ARD. || May 6, 2011 || 3 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
 * || 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
 * 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 ||

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

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

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

FAX TO: 409-880-8685