Field-Based Internship Planning

Worksheet
Name:__Rob Griffin_______ Cohort:
_UEN_Gold_______

Due: November 15 of 1st Semester in Program &

as changes are made. Student uploads plan to SMS
upon approval and provides copy to Field
ISSL #1 Visionary Leadership

Standa Visionary Leadership/Experience Area PREK-EC DESCRIPTION Estimated

rd (Condensed Criteria) /Elem/Sec/Sp Ed Completion
(Indicate Grade Date
Level)
Approximate Hours
1a Uses data for Establishment of Secondary 4.5 /Sped Facilitating PLCs June 2016
Achievement Goals 4.5
EHS coaches Meetings June 2016
Secondary 1
Science District Leadership Team June 2016
Elem 3

1b Uses best practice in Program Secondary 4.5/Sped Facilitating PLCs June 2016
Improvement 4.5
EHS coaches Meetings June 2016
Secondary 1
Science District Leadership Team June 2016
Elem 3

1c Articulates/Promotes High Secondary 2 East High Leadership Team June 2016

Expectations for Teaching/Learning Meetings

1d Aligns educational programs w/ Secondary 4.5/Sped Facilitating PLCs June 2016

District Vision and Goals 4.5
EHS Coaches Meetings June 2016
 Secondary 1 Science District Leadership Team June 2016

Elem 3

1e Provides Leadership for Major Secondary 4.5/Sped Facilitating PLCs June 2016
Initiatives and Change Efforts 4.5
EHS Coaches Meetings June 2016
Secondary 1
Science District Leadership Team June 2016
Elem 3

1f Communicates effectively with Secondary 1 Parent Teacher Conferences October 30,

various stakeholders on progress 2015
Secondary 9 Facilitating PLCs
June 2016
Secondary 3/Sped 3 I-Observations
June 2016
Secondary 1 EHS Coaches Meetings
June 2016
 ISSL #2 Instructional Leadership

Standar Instructional Leadership PREK /Elem/Sec/Sp DESCRIPTION Estimated

d2 (Condensed Criteria) Ed Completion
(Indicate Grade Date
Level)
Approximate Hours
2a Provides leadership for Secondary 2 East High Leadership Team June 2016
Assessing/Developing/Improving Meetings
Climate and Culture Secondary 1 June 2016
EHS coaches Meetings

2b Systematically/Fairly Elem 4 District Special Education June 2016

Recognizing/Celebrating Instructional Coaches Meetings
Staff/Student Accomplishment
2c Encourages design of more effective Secondary 3/Sped 3 I-Observations June 2016
learning experiences for students
Secondary 4.5/Sped Facilitating PLCs June 2016
4.5
EHS coaches Meetings June 2016
Secondary 1
Science District Leadership June 2016
Elem 3 Team

2d Monitors/Evaluates Effective Elem 4 District Special Education June 2016

Curriculum/Instruction/Assessment Instructional Coaches Meetings
Secondary 1 June 2016
EHS coaches Meetings
Secondary 3/Sped 3 June 2016
I-Observation
Elem 3 June 2016
Science District Leadership
 Team

2e Evaluates Staff and Provides Secondary 3/Sped 3 I-Observation June 2016

ongoing coaching for improvement
Secondary 4.5/Sped Facilitating PLCs June 2016
4.5

2f Ensures professional development Secondary 1 EHS coaches Meetings June 2016

that enhances teaching/learning
Secondary 4.5/Sped Facilitating PLCs June 2016
4.5

2g Uses research/theory to Elem 4 District Special Education June 2016

develop/revise professional growth Instructional Coaches Meetings
plan
2h Promotes collaboration with all Secondary 2 East High Leadership Team June 2016
stakeholders Meetings
Secondary 1 June 2016
EHS coaches Meetings
Secondary 3/Sped 3 June 2016

Secondary 4.5/Sped I-Observations June 2016

4.5
Facilitating PLCs June 2016
Elem 3
Science District Leadership
Team

2i Accessible and approachable to all Secondary 4.5/Sped Facilitating PLCs June 2016
stakeholders 4.5

2j Visible and engaged in the Early Childhood 8 Volunteer T-Ball Coach February 2016
community
Early Childhood 7 Volunteer Theater Classes

2k Articulates and reinforces desired Secondary 2 East High Leadership Team June 2016
school culture, showing evidence Meetings
Secondary 1 June 2016
 EHS coaches Meetings

ISSL #3 Organizational Leadership

Standa Organizational Leadership PREK DESCRIPTION Estimated
rd 3 (Condensed Criteria) /Elem/Sec/Sp Ed Completion
(Indicate Grade Date
Level)
Approximate Hours
3a Complies with state and federal Elem 4 District Special Education June 2016
mandates and local board policies Instructional Coaches Meetings
Elem 3 June 2016
Science District Leadership
Team

3b Recruitment, selection, induction, and Sped 6 Hiring Team January 2016

retention of staff for quality instruction
3c Addresses current and potential issues Elem 4 District Special Education June 2016
in a timely manner Instructional Coaches Meetings
June 2016
Secondary 1 EHS coaches Meetings

3d Effectively/efficiently manages fiscal Elem 3 Science District Leadership June 2016

and physical resources Team

3e Protects instructional time Secondary Facilitating PLCs December

 4.5/Sped 4.5 2015

3f Uses effective communication Elem 4 District Special Education June 2016

w/internal and external audiences Instructional Coaches Meetings
about school operations

ISSL #4 Collaborative Leadership

Standar Collaborative Leadership PREK DESCRIPTION Estimated
d4 (Condensed Criteria) /Elem/Sec/Sp Ed Completion
(Indicate Grade Date
Level)
Approximate
Hours
4a Engages families and community, and Secondary 1/Sped Parent Teacher Conferences October 2015
promotes shared responsibility for 1
student learning and education
4b Promotes/supports structure for Secondary 1 Parent Teacher Conferences October 2015
family/community involvement
4c Facilitates connections of Sped 1.5 IEP Meeting September
students/families to health/social 2015
services that support a focus on
learning
4d Collaboratively establishes a culture Sped 1.5 IEP Meeting September
that welcomes and honors families 2015
 and community and seeks ways to
engage them in student learning

ISSL #5 Ethical Leadership

Standar Ethical Leadership PREK /Elem/Sec/Sp DESCRIPTION Estimated

d5 (Condensed Criteria) Ed Completion
(Indicate Grade Date
Level)
Approximate Hours
5a Demonstrates ethical and Secondary 2 East High Leadership Team June 2016
professional behavior Meetings
Secondary 1 June 2016
EHS coaches Meetings

5b Demonstrates values, beliefs, and Secondary 1 EHS coaches Meetings June 2016
attitudes that will inspire others to
higher levels of performance Secondary 3/Sped 3 I-Observation June 2016
 Secondary 4.5/Sped Facilitating PLCs June 2016
4.5

5c Fosters and maintains caring, Elem 4 District Special Education June 2016
professional relationships with staff Instructional Coaches Meetings
Secondary 4.5/Sped June 2016
4.5 Facilitating PLCs

5d Demonstrates appreciation for and Secondary 4.5/Sped Facilitating PLCs June 2016
sensitivity to diversity in the school 4.5
community
5e Demonstrates respect for divergent Elem 4 District Special Education June 2016
opinions Instructional Coaches Meetings

EHS coaches Meetings

Secondary 1 June 2016

ISSL #6 Political Leadership

Standa Political Leadership PREK /Elem/Sec/Sp DESCRIPTION Estimated

rd 6 (Condensed Criteria) Ed Completion
(Indicate Grade Date
Level)
Approximate Hours
6a Collaborates with service Elem 4 District Special Education June 2016
providers/decision-makers to Instructional Coaches Meetings
improve teaching and learning
 Secondary 1 EHS coaches Meetings June 2016

6b Advocates for the welfare of all Secondary 2 East High Leadership Team June 2016
members of the learning community Meetings

6c Designs and implements Secondary 1 EHS coaches Meetings June 2016

appropriate strategies to reach
desired goals

Program-Required Internship Experiences

Program-Required Location (school, Description Estimated

Experience agency, business, Completion Date
& contact people)

Full-Day Principal Janesville with October 30th, 2015

Shadowing (8 hrs)
Krista Pugh
 Non-profit/Social Camp Knutson Volunteering at Fall 2016
Service
Pancake Breakfast
Experience (4 hrs)

Business Burkles Combining Help with Harvest on Fall 2016

Internship the Farm
Experience (4 hrs)

Total Hours 100 hours 60 hours 15 hours 50 hours Special

Needed Secondary Elementary PreK/Early Education
Childhood (birth-5
yrs or up to grade
2

Total Hours 174.5 Hours Hours above plus Volunteering coaching 114 Hours
Planned T-Ball Summer 2016
(17.5) + Summer
and at Hearst Center of
School hours 2016
the Arts Theater classes

EHS Leadership Team Meetings-12 hours 1st semester EHS coaches Meetings-16 hours 1st
semester

Interview Process-18 hours 2 hours per candidate Facilitating PLCs-126 hours 1st semester

Science District Leadership Team-24 hours EHS SPED Leadership Team-16 hours 1st semester

PBIS Tier 2 Team Scheduling MTSS ground work