District Supervised Summary Report

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
		Brief Description of the Activity	Date of the Activity	Internship Hours
Domain I: School Community Leadership	Competency 001	Evidence that demonstrates that I actually do what I tell others to do	5/2	1hr
		Accept criticism, avoid interrupting others, shares responsibilities	3/30  4/5   4/7	3hrs
		Obtain a copy of the job description and evaluation instrument used for the position of study	7/28	1hr
	Competency 002	Analyze schools vision/mission statement as it relates to schools master schedule	5/23	2hrs
		Review strategic plan for TAKS camp.  Investigate concerns and support	3/3  3/4	4hrs
		Review ways in which data are used.	2/23  4/19  6/7	6hrs
		Strategies to increase attendance for tutorials.	2/1	1hr
		Observe and take part in district team meetings with the superintendent	3/1  4/5   5/3   6/7	12hrs
	Competency 003	Lead faculty meetings and PLC meetings	2/8  2/15  3/7  3/29  4/4   4/12  5/2  5/10	8hrs
		Assist in the preparation of a written communication to be sent out to the public	3/7	1hr
		Conduct parent meeting regarding the transition from 5th grade to middle school	2/25	2hrs
		Meet with reading department and examine the literature used in regards to gender stereotyping	5/17   5/19	1hr 20min
		Develop a plan on improving student attendance. Involve local agencies.	5/23	1hr
		Required Hours for Domain I: minimum of 36 hours per semester	Internship Hours Earned for Domain I	43hrs 10min

Domain II: Instructional Leadership	Competency 004	Analyze 2010-11 Staff development plan and determine if it served the needs of teachers to improve student learning.	6/20	3hrs
		Conduct and interview a retired educator.	6/23	2hrs
		Attend as many board meetings as possible	1/27     2/24     3/31     4/28     5/ 26   6/29     7/28      8/25	24hrs
		Interview one professional with experience in writing grants	6/7	2hrs
	Competency 005	Interview persons involved in the implementation of the school curriculum	6/6	3hrs
		Participate in the development of the master schedule	5/23  5/24   5/25   5/26  5/27	10hrs
		Initiate plan for increased walkthroughs	1/10	1hr
		Meet with randomly selected students to discuss the strengths and weaknesses of co-curricular activities	5/30	1hr
	Competency 006	Develop a list of the right questions that should be asked to kids during instruction	3/1   3/3   3/8	6hrs
		Observe the use of technology in our schools Skills class	3/2   3/10   3/14	2hrs
		Meet with group of students to discuss school rules and discipline procedures.	5/18	1hr
	Competency 007	Gather information from two administrators on relevant and legal questioning strategies used in interviewing	6/28	2hrs
		Required Hours for Domain II: minimum of 52 hours per semester	Internship Hours Earned for Domain II	57hrs

Domain III: Administrative Leadership	Competency 008	Interview district manager	5/17	2hrs
		Compile a list of books recommended for the position of study		1hr
		Compile a list of professional associations that pertain to the position of study		1hr
	Competency 009	Shadow our head custodian for a period of time. Determine concerns and needs.	4/4  4/11	2hrs
		. Observe a bus driver during an afternoon route	4/5    5/19	4hrs
		Observe a food service worker in the preparation and delivery of breakfast	4/13    5/11	4hrs
	Comp. 10	Participate in meetings regarding State Assessments.  The transition from TAKS to STAAR	5/10  5/17  5/24  6/6	11hrs
	Comp. 10	Participate in career educational program sessions with a counselor and students	1/12	3hrs
		Required Hours for Domain III: minimum of 27 hours per semester	Internship Hours Earned for Domain III	28hrs
			Total Campus Supervised Hours	128

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