Field-Based Internship Planning Worksheet
Name:___________________________ Cohort: ___________
Due: November 15 of 1st Semester in Program & as changes are
made. Student uploads plan to SMS upon approval and provides
copy to Field Supervisor.
ISSL #1 – Visionary Leadership
Standard
Visionary Leadership/Experience Area
(Condensed Criteria)
1a
Uses data for Establishment of Achievement Goals
1b
Uses best practice in Program Improvement
1c
Articulates/Promotes High Expectations for
Teaching/Learning
1d
Aligns educational programs w/ District Vision
and Goals
1e
Provides Leadership for Major Initiatives and
Change Efforts
1f
Communicates effectively with various
stakeholders on progress
PREK-EC /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
DESCRIPTION
Estimated
Completion Date
ISSL #2 – Instructional Leadership
Standard 2
Instructional Leadership
(Condensed Criteria)
2a
Provides leadership for
Assessing/Developing/Improving Climate and
Culture
Systematically/Fairly Recognizing/Celebrating
Staff/Student Accomplishment
Encourages design of more effective learning
experiences for students
Monitors/Evaluates Effective
Curriculum/Instruction/Assessment
Evaluates Staff and Provides ongoing
coaching for improvement
2b
2c
2d
2e
2f
2g
2h
Ensures professional development that
enhances teaching/learning
Uses research/theory to develop/revise
professional growth plan
Promotes collaboration with all stakeholders
2i
Accessible and approachable to all
stakeholders
2j
Visible and engaged in the community
2k
Articulates and reinforces desired school
culture, showing evidence
PREK /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
DESCRIPTION
Estimated
Completion Date
ISSL #3 – Organizational Leadership
Standard
3
Organizational Leadership
(Condensed Criteria)
3a
Complies with state and federal mandates and
local board policies
Recruitment, selection, induction, and retention
of staff for quality instruction
Addresses current and potential issues in a
timely manner
Effectively/efficiently manages fiscal and physical
resources
Protects instructional time
3b
3c
3d
3e
3f
Standard 4
4a
4b
4c
4d
PREK /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
DESCRIPTION
Estimated
Completion Date
DESCRIPTION
Estimated
Completion Date
Uses effective communication w/internal and
external audiences about school operations
ISSL #4 – Collaborative Leadership
Collaborative Leadership
PREK /Elem/Sec/Sp Ed
(Condensed Criteria)
(Indicate Grade Level)
Approximate Hours
Engages families and community, and promotes
shared responsibility for student learning and
education
Promotes/supports structure for
family/community involvement
Facilitates connections of students/families to
health/social services that support a focus on
learning
Collaboratively establishes a culture that
welcomes and honors families and community
and seeks ways to engage them in student
learning
ISSL #5 – Ethical Leadership
Standard 5
5a
5b
5c
Ethical Leadership
(Condensed Criteria)
PREK /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
DESCRIPTION
Estimated
Completion Date
DESCRIPTION
Estimated
Completion Date
Demonstrates ethical and professional
behavior
Demonstrates values, beliefs, and attitudes
that will inspire others to higher levels of
performance
Fosters and maintains caring, professional
relationships with staff
5d
Demonstrates appreciation for and sensitivity
to diversity in the school community
5e
Demonstrates respect for divergent opinions
ISSL #6 – Political Leadership
Standard
6
Political Leadership
(Condensed Criteria)
6a
Collaborates with service providers/decisionmakers to improve teaching and learning
Advocates for the welfare of all members of
the learning community
Designs and implements appropriate
strategies to reach desired goals
6b
6c
PREK /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
Program-Required Internship Experiences
Program-Required
Experience
Full-Day Principal
Shadowing (8 hrs)
Non-profit/Social Service
Experience (4 hrs)
Business Internship
Experience (4 hrs)
Location (school,
agency, business, &
contact people)
Description
Estimated Completion
Date