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Internship agreement

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This module is authored by David Parks from Virginia Tech and edited by Theodore Creighton, Laura Farmer, and Corrine Sackett.
This module has been peer-reviewed, accepted, and sanctioned by the National Council of Professors of Educational Administration (NCPEA) as a scholarly contribution to the knowledge base in education administration. In addition to publication in the Connexions Content Commons, this module is part of a larger published Collection entitled Guidelines for Interns, Mentors, and Home School Principals, 2009-2011, and is also published in the International Journal of Educational Leadership Preparation.

Internship agreement

Location of Program:

FORM MUST BE TYPED AND SUBMITTED NO LATER THAN THREE WEEKS BEFORE THE BEGINNING OF THE SEMESTER.

Intern’s Name Date
Student Number Student’s Present Phone Number

CRN Course designation Course title Credit hours Semester Year
EDAE 5614 Internship: School Based Leadership 6 Summer II
To be added. EDAE 5614 Internship: Division, Agency, and Special Schools Leadership 6 Summer I

Minimum Number of Hours to be Devoted to Clinical Study: 350 Clock hours over 2 years
Objectives: See attachment.
Nature of Clinical Study: See attachment.
Method of Evaluation: See attachment.
Location of Primary Site:
Mentor:

School address:

Faculty Clinical Director:
Student’s Signature Date On-Site Clinical Director Date
Faculty Clinical Director Date Associate Director, SOE Date
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Source:  OpenStax, Guidelines for interns, mentors, and home school principals, 2009-2011. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10609/1.3
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