Ed.D.
Internships
EDL 661 and EDL 663
The mission of the Educational Leadership and Administration Doctoral Program is to prepare
superintendents and other educational leaders to be informed, proactive, and reflective change
agents to improve public schools for the benefit of all students, particularly in southeastern North
Carolina. The audience for the program includes (a) current B-12 public school leaders who plan to
move into school district leadership roles; (b) current B-12 public school leaders, school- or districtlevel, who wish to improve their leadership practice through an education doctorate; and (c) leaders
from related disciplines who plan to move into school or school district leadership roles. Our students
include school district leaders, school administrators, teacher leaders, and leaders working for the
North Carolina Department of Public Instruction.
The primary goal of the program is to prepare effective leaders who are skilled managers,
curricular experts, and research-based scholars. Each of these roles requires theoretical and practical
knowledge, application of skills, and appropriate professional dispositions.
Internships
The Watson School of Education at the University of North Carolina Wilmington launched in
2007 an Ed. D. program for future school executives. Requirements for degree completion include three
internships: one in the business community and one in an educational or governmental institution along
with a third internship is international in scope. The hour requirements for each internship are 100
hours of participation in an organization that has demonstrated successful leadership practices that can
be transferred to local educational settings. It is our expectation that our candidates will have the
appropriate background, skills, and interests consistent with the organization that is serving as the
internship site.
Overview of Internships
The University of North Carolina Wilmington is committed to maintaining professional
interactions and experiences between our doctoral interns and each organization/institution. Each
organization/institution may involve interns in an appropriate work project(s) which would provide each
organization/institution with assistance in completing tasks and achieving goals. This work project may
be research-oriented, product-based and/or service-based. The main focus of the doctoral internships
is the examination of leadership and the impact that leadership has on the functioning of a system in the
educational, business and/or government arena.
Intern Site Supervisors:
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A doctoral program faculty member will be assigned as a supervisor to monitor and evaluate the
student’s performance in cooperation with the organization’s identified supervisor. Each student and
organization/institution will have a contract that outlines duties and responsibilities of the university as
well as the participating organization/institution.
Al l internship students agree to and sign a confidentiality statement. Students compile a weekly
and final summary reflective journal of the internship experience. Students also write a critical paper
examining an identified issue related specifically to the internship site. These papers in turn are available
to each participating organization/institution. We wish for interns to extrapolate from their internship
experiences the connections that could make a positive impact on their educational organizations.
The intern should work to ensure that all related coursework maintains confidentiality
agreements between the supervising site and the intern. In addition, the internship site supervisor may
contact the university faculty internship supervisor at any time for clarification on issues or concerns.
For additional information: WSE website: http://www.uncw.edu/ed/
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Internship Standards
The University of North Carolina Wilmington adheres to specific standards for each course
development and the internships have a set of standards. The Interstate School Leaders Licensure
Consortium (ISLLC) standards, the North Carolina Standards for School Executives, and North Carolina
Standards for Superintendents are the foundational standards for this course.
More information can be found at the following sites:
NC Standards for Superintendents:
http://www.ncptsc.org/NC%20Standards%20for%20Superintendents.pdf
NC Standards for School Executives:
http://www.ncptsc.org/NC%20Standards%20for%20School%20Executives.pdf
ISLLC Standards: http://coe.fgue.edu/faculty/valesky/isllcstandands.htm
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EDL 661 and 663 Internship
Preliminary Approval Sheet
Student Name:
Internship Project Title:
Name, Address, and contact info of Internship Field Supervisor:


Name:
Address:

Phone and e-mail:
Description of the Project and Goals:
Indicators that the project is research based:
What the final project will look like upon completion (Review pgs. 11-13 of the EdD Internships manual)?
Program Coordinator: ______________________________________________ Date: _____________
Intern: __________________________________________________________ Date: _____________
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Education/Government Internship
EDL 661
Internship (2 credits)
Catalog Description: This course is a focused internship for candidates who are placed in an educational
or government setting to intensively study innovation, leadership styles and data-driven decisionmaking.
Conceptual Framework: This course is designed to focus on key components of the Watson School of
Education’s conceptual framework: The WSE develops highly competent professionals to serve in
educational leadership roles. All educators must use data for decisions, reflect upon their practice,
exemplify their commitment to professional standards, implement appropriate communication
strategies, and strive to meet the needs of all learners and constituents. Assignments in this course will
assist candidates in preparing to be a competent professional and an effective leader at the district level
and beyond.
Course Objectives
1. Compare and contrast the leadership styles, philosophical perspectives, organizational systems,
administrative processes and culture of the organization and analyze how they these factors
affect the organization. (Standard 1, 2, 3). Note, for this reason, it is advised that the internship
be completed in a division/ organization in which the intern is not currently employed. This
internship will allow an organizational perspective not formed by current working conditions. In
some cases, exceptions may be granted to allow for specified components to be accomplished
that are division-specific, but only with the advance approval of the instructor.
2. Observe and critically analyze practices, change strategies, assessment tools and management
approaches in the internship placement setting. (Standard 1, 3)
3. Study innovation and data-driven decision-making from a system perspective. (Standard 1, 3)
4. Shadow leaders through typical work day assignments (Standard 4, 5)
5. Perform a leadership role the area of the student’s expertise connected to their research
interests (Standard 5, 6)
6. Reflect upon experiences with fellow interns. (Standard 4)
Course Outcomes/Projects
1. Participation in a minimum of 100 contact hours to complete internship.
2. Successful fulfillment of the internship contract as developed with the internship host, the
faculty member, and the intern, including site duties and responsibilities. The contract will
connect to EDL 602 and a specific data-driven issue, chosen for observation, study and site
project that is summarized in a paper.
3. Participation in the internship reflective component with appropriate written journals.
Reflective Blackboard Posts will be a component of this reflective journaling process.
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4. Initiation of changes at one’s own workplace from examined data-driven issue. These changes
will be illustrated in a multi-media work product.
5. Organizational field supervisor’s evaluation assessing the quality of the student’s work and the
student’s professionalism.
Instructional Methods and Activities
Students will compile a weekly and final, summary reflective journal of the internship experience (this
will be divided into 5 submissions to allow for instructor feedback. Please space these out by about one
week).
1. Students will complete an appropriate work project(s) to provide assistance in completing the
tasks and achieving goals for the internship host. This work project may be research-oriented,
product-based and/or service-based.
2. Students will write a paper describing an identified issue related specifically to the internship
work project(s). This paper will include an investigation of the overall leadership styles,
administrative processes and the culture of the organizational setting and analyze how these
factors affect education and training in that organization. This paper will be graded by the
Faculty Internship Advisor.
3. Students will create a power point presentation summarizing their papers and work products.
4. Students will submit an evaluation form to the host/field supervisor.
Grading Policy*
Reflective Journal
Power Point
Paper
Field Supervisor Evaluation
Total Points
A
B
C
F
15 points
25 points
40 points
20 points
100 points
93 – 100
86 - 92
79 - 85
Below 79
*The reflective journal, power point presentation, paper and field supervisor’s evaluation must be
submitted to the Faculty Internship Advisor.
* This syllabus and manual is tentative and subject to updates and edits from the course instructor as
needed.
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Business internship
EDL 663
Internship (2 credits)
Catalog Description: This internship is designed to provide first-hand experience in applying best
business practices to the educational domain, including: 1) effective managerial and leadership
principles; 2) strategic human resource management; and 3) innovative training and
employee/customer education models.
Conceptual Framework: This course is designed to focus on key components of the Watson School of
Education’s conceptual framework: The WSE develops highly competent professionals to serve in
educational leadership roles. All educators must use data for decisions, reflect upon their practice,
exemplify their commitment to professional standards, implement appropriate communication
strategies, and strive to meet the needs of all learners and constituents. Assignments in this course will
assist candidates in preparing to be a competent professional and an effective leader at the district level
and beyond.
Course Objectives
1. Experience and study the leadership styles, organizational systems, administrative processes
and culture of a business setting and analyze how these factors affect education and
training in that business. (Standard 1, 2, 3)
2. Study strategic resourced management including recruitment, retention, customer
satisfaction and support. (Standard 6)
3. Explore innovative training and employee/customer education models, (Standard 3)
4. Shadow leaders through typical work-day assignments and perform authentic
responsibilities.(Standard 4)
5. Compare change strategies, assessment tools and management approaches.(Standard 3)
6. Apply learning from BUS 605 and prepare for BUS 624 assignments.(Standard 4)
7. Reflect upon experiences with fellow interns. (Standard 4, 5)
Course Outcomes/Projects
1. Participation in a minimum of 100 contact hours to complete internship.
2. Successful fulfillment of the internship contract as developed with the internship host, the
faculty member, and the intern. The contract will connect to BUS 605 and a specific datadriven issue, chosen for observation, study and summarized in a paper.
3. Participation in the internship reflective\component with appropriate written journals.
Reflective Blackboard Posts will be a component of this reflective journaling process.
4. Students will include interviews and observations related to forthcoming assignments in
BUS 624.
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5. Initiation of changes at one’s own workplace from examined data-driven issue. These
changes will be documented in a paper and illustrated in a power point.
6. Organizational field supervisor’s evaluation assessing the quality of the student’s work and
the student’s professionalism.
Instructional Methods and Activities
1. Students will compile a weekly and final, summary reflective journal of the internship
experience.
2. Students will complete an appropriate work project(s) to provide assistance in completing
the tasks and achieving goals for the internship host. This work project may be researchoriented, product-based and/or service-based.
3. Students will write a paper describing an identified issue related specifically to the
internship work project(s). This paper will include an investigation of the overall leadership
styles, administrative processes and the culture of the organizational setting and analyze
how these factors affect education and training in that organization. This paper will be
graded by the Faculty Internship Advisor.
4. Students will create a power point presentation summarizing their papers and work
products.
5. Students will submit an evaluation form to the host/field supervisor.
Grading Policy*
Reflective Journal
Power Point
Paper
Field Supervisor Evaluation
Total Points
A
B
C
D
F
15 points
25 points
40 points
20 points
100 points
93 – 100
86 - 92
79 - 85
73 – 78
Below 73
*The reflective journal, power point presentation, paper and field supervisor’s evaluation must be
submitted to the Faculty Internship Advisor.
* This syllabus and manual is tentative and subject to updates and edits from the course instructor as
needed.
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INT E RNSHIPS
S tu den t Proc edu ra l Gui del i nes
E NROLL IN EDL 661 OR
66 3
E NROLLMENT
COMP LE TE
Contac t Me etin g is s et u p fo r th e
fol lo wi ng :
a.Revi ew co ntra ct (l eave a c opy)
b.Col le ct i nformatio n fo r i nternshi p
pl ac ement fo rm.
c.Compl ete in te rn shi p pl ac ement fo rm
exc ept fo r start da te
d.Compl ete Co nfid enti al ity Agree ment
an d le ave a cop y wi th the h ost
su pervi sor.
e.E xpl ai n the work proj ect(s), th e 100
requ ired co ntact hou rs , an d host
su pervi sor e val uati on form.
S tu den t determi nes wha t type of
exp erie nce they woul d l ike to comp le te
thei r i nternsh ip a nd be gi n conve rs atio ns
ab out poss ib le p la ceme nts.
P LA CE MENTS CA NNOT B E IN
P RE S ENT WORK E NV IRONME NT S .
P la ceme nt
de te rmi ned
P la ceme nt NOT
de te rmi ned
Once yo u h ave mad e a dec is ion o n
the po ssi bl e pl ace ment, yo u are to
sc hed ul e a n in te rvi ew wi th th e h ost
su pervi sor, the facu lty advi so r and
the stud ent to exp la in the p ro cess
Compl eted an d si gne d con tract
mus t be su bmi tted to Li sa
Hunt before stude nt c an be gi n
i nternsh ip.
Fo rm no t
si gn ed
A ll pap erwork, i nc lu di ng ho st eva lu atio n must be
turned i n fo r the stud ent to rece ive c re di t for the
i nternsh ip.
Fo rm S ig ned
S tu den ts then c an be gi n th e 100
ho urs of the i nternsh ip . Lo gs are kept
of th e hours an d re fl ec ti on s from th e
exp erie nce.
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Intern Projects
Each organization/institution may involve interns in an appropriate work project(s) which would
provide each organization/institution with assistance in completing tasks and achieving goals. This work
project may be research-oriented, product-based and/or service-based. An overview of each type of
project is provided.
Research-oriented projects
A research-oriented project is research based in terms that the intern is collecting data for the
organization/institution in order to collectively or specifically extrapolate information to serve the
organization/institution.
Product-based projects
A product-based project is when the intern completes a specific product that is needed by the
organization/institution.
Service-based projects
A service-based project is developed between the intern and the organization/institution so the
intern performs a service function or completes an activity that benefits both the intern and the
organization/institution.
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ASSESSMENT
There are three primary areas of assessment: reflective logs, paper/presentation, and
evaluation.
Journaling/Reflective Logs
The art of journaling is key to the success of a leader. Students in the internships will be
required to maintain a reflective log of the experiences throughout the internship. The
reflective log begins at the onset of the internship and is continued throughout the duration of
the experience. The logs are maintained throughout the course to be observed at random times
by the instructor for feedback and comments. The logs are assigned points and graded at the
completion of the course. Each log should contain a reflection of daily/weekly activities/events
and experiences, times and dates for each entry, and an accumulation of hours for the
internship.
Paper/Presentation
Students in the internships will be required to present an overview of the final project as a
presentation and paper for grading. The presentation/paper are assigned points and graded at
the completion of the course. Projects, while some may not be tangible to present, are the
focus of the paper and should include an overview of the project and detailed information so
that the project is easily understood. Projects will be submitted unless not tangible in design. All
projects must be pre-approved by instructors and host sites.
Evaluation
Students in the internships will be required to have their site coordinator evaluate them
throughout the internship. This is a graded assignment in the internship and all students must
turn in a completed evaluation by their site coordinator at the business or government site.
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Outline for Internship Paper
Recommended Section Headings
Purpose and goals of the internship and why interested in this placement
Reflections of the leadership style(s), processes and organizational culture observed
Description of the work project you completed for the organization
Summary of the impact on your overall learning and your leadership development
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Internship Project Rubric
PAPER
Content and Writing
Score- Description of
Important Internship
Components (reference
“Outline for Internship
paper” for necessary
components). Discuss
appropriate format
with course instructor
Not Evident or Lacking
Evident
Proficient
0-24 points
25-33 points
34-40 points
Includes little or no
important
components.
Irrelevant to the
realities and needs of
the internship.
Some dialogue evident,
but vague or irrelevant
to situation. Notes some
realities and needs of the
internship. Clarity
and/or focus evident,
though there is room for
improvement. Grammar
is acceptable, but needs
improvement.
Writing is specific and
aligned with Internship
Paper recommended
outline (or agreed-upon
format). Specific to the
realities and needs of
the internship. Clarity
and focus is evident.
Minor or no
grammatical errors.
Writing Lacks clarity or
focus. Significant
grammatical errors.
_______/40 points
possible
POWERPOINT
PPT presentation (10
slides)
Not Evident or Lacking
Evident
Proficient
0-10 points
11-18 points
19-25 points
Lacks clarity, focus.
Time frame of 10-15
minutes not kept.
Significant grammar
mistakes. Does not
relate to the
articulated (or agreedupon format) from the
Internship Paper.
Clear and focused
presentations that
summarize the project.
PowerPoint (or other
media) presentation
clear and within the 1015 minute time frame.
Some mistakes made in
terms of clarity and/or
grammar. Captures
most of the components
from the Internship
Paper.
Clear, focused, and
succinct presentation.
Aligned with Internship
Paper components.
Time frame of 10-15
minutes is kept and
only minor (if any)
grammatical areas are
present.
_______/25 points
possible
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FORMS
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
(Fax) 910-962-3609
601 South College Rd
Wilmington, NC 28403
saved as: INTERNSHIP placement forms.doc
Doctoral Internship
CONFIDENTIALITY AGREEMENT
Form Ed D 19
Student:
___________________________
(Print Name)
Semester:
Summer
Fall
Spring
Year________
(Circle One)
Agreement:
This is to certify that as a doctoral intern of the University of North Carolina Wilmington, I understand
that any information (written, verbal or other form) obtained during the performance of my internship
duties for EDL 661 and EDL 663 MUST remain confidential. This includes all information about
members, clients, families, employees and other associated organizations; as well as, any other
information otherwise marked or known to be confidential.
I understand that any unauthorized release or carelessness in the handling of confidential information is
considered a breach of the duty to maintain confidentiality. I further understand that any breach of the
duty to maintain confidentiality could be grounds for immediate dismissal from the internship
experience; as well as dismissal from the doctoral program and/or possible liability in any legal action
arising from such breach.
My signature below indicates that (1) I have read this agreement (2) I understand this agreement (3) I
will adhere to the requirements associated with confidentiality.
_____________________________________
Signature
____________
Date
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
601 South College Rd
(Fax) 910-962-3609
Wilmington, NC 28403
saved as: INTERNSHIP placement forms.doc
EDL 661: Education/Government
Doctoral Program: INTERNSHIP PLACEMENT
Form Ed D 16
Student:
___________________________
(Print Name)
Semester:
Summer
Fall
Spring
(Circle One)
Year:
________
Placement (Name):
__________________________
Placement Location: __________________________
Placement Supervisor:
__________________________
Contact Information: _______________________________________________________
Summary of Internship Goals:
Permission to Begin: __________________
Planned Date to Complete:________________
Student Signature: _____________________________________________
Date___________
University Supervisor: Dr. William Sterrett _____________
Date___________
Additional Information:
___Student ___Office (EDL) ___University Supervisor
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
South College Rd
(Fax) 910-962-3609
Wilmington, NC 28403
601
EDL 662: INTERNATIONAL Internship
Doctoral Program: INTERNSHIP PLACEMENT
Form Ed D 17
Student:
___________________________
(Print Name)
Semester:
Fall
Spring
Summer
(Circle One)
Year:
________
Country:
__________________________
Contact Information: ________________________________________________________
____________________________________________________________________________
_
University Supervisor:
Dr. John Fischetti or Dr. Kennedy Ongaga or Dr. Scott Imig
(other) ______________
Permission to Begin: __________________
Complete:_________________________
Plan to
Student Signature: _____________________________________________
Date___________
University Supervisor: __________________________________________
Date___________
Additional Information:
___Student ___Office (EDL) ___University Supervisor
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
South College Rd
(Fax) 910-962-3609
Wilmington, NC 28403
601
EDL 663: BUSINESS
Doctoral Program INTERNSHIP PLACEMENT
Form Ed D 18
Student:
___________________________
(Print name)
Semester:
Summer
Fall
Spring
(Circle One)
Year:
________
Placement (Name):
______________________________
Placement Location: ______________________________
Placement Supervisor:
______________________________
Contact Information: ________________________________________________________
____________________________________________________________________________
_
Permission to Begin: __________________
Planned Date to complete:________________
Student Signature: _____________________________________________
Date___________
University Supervisor: Dr. Marsha Carr __ ________________________
Date___________
Additional Information:
___Student ___Office (EDL) ___University Supervisor
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
(Fax) 910-962-3609
601 South College Rd
Wilmington, NC 28403
saved as: INTERNSHIP placement forms.doc
Doctoral Internship
CONTACT LOG (INSTRUCTOR/STUDENT)
Date of contact
and time
Purpose
of contact
Comments
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EDL 661/ 663 Internship
Daily and Monthly Time Report
Site Name _____________________________
Student Name _____________________________
Month Beginning _______Ending_______
Day of Week
Date
A.M.
A.M.
P.M.
P.M.
Start
End
Start
End
Total
Activity
Monday
Tuesday
Wednesday
Thursday
Friday
Total For 1st
Week
Monday
Tuesday
Wednesday
Thursday
Friday
Total For 2nd
Week
Monday
Tuesday
Wednesday
Thursday
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Friday
Total For 3rd
Week
Monday
Tuesday
Wednesday
Thursday
Friday
Total For 4th
Week
Monday
Tuesday
Wednesday
Thursday
Friday
Total For 5th
Week
Total For
Month
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
(Fax) 910-962-3609
601 South College Rd
Wilmington, NC 28403
saved as: INTERNSHIP placement forms.doc
Doctoral Internship
ASSESSMENT SURVEY
Please complete the following survey at the beginning of the course and again at the conclusion of the
course. Turn the assessment in to your instructor.
Agree
Disagree
1. I believe there is value in doing internships as a student.
1
2
3
4
5
2. I believe the hours involved in the internship are adequate.
1
2
3
4
5
3. I believe all students benefit from internships in the field.
1
2
3
4
5
4. I believe there is enough contact by the instructor in the course.
1
2
3
4
5
5. I believe the logs are necessary component of the course.
1
2
3
4
5
6. I believe the paper is a necessary component of the course.
1
2
3
4
5
7. I believe the presentation is a necessary component.
1
2
3
4
5
8. I believe the evaluation provides data for course changes.
1
2
3
4
5
9. I believe the relationships at the sites are essential.
1
2
3
4
5
10. I believe the internship was an effective learning experience.
1
2
3
4
5
Please what was most beneficial about this experience?
Please provide suggestions for changes you would like to see to the internship.
If you have any thoughts or suggestions, please describe below:
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Department of Educational Leadership
Watson School of Education
University of North Carolina Wilmington
(Office) 910-962-3369
(Fax) 910-962-3609
601 South College Rd
Wilmington, NC 28403
saved as: INTERNSHIP placement forms.doc
Doctoral Internship
TRACKING LOG
STUDENT
START DATE
LOCATION
PROJECTED END
DATE
ASSIGNMENT
COMPLETION
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Ed. D. Internship Contractual Agreement
This agreement establishes the relationship between UNC Wilmington (referred to as the "University"),
an educational institution in the UNC State System of Higher Education, and ________,referred to as the
"Organization").
The University offers degree programs in a wide variety of disciplines, which are academically enhanced
by practical experiences outside of the traditional classroom setting. For this agreement the Organization
shall provide practical experience pursuant to the terms of this agreement and serve as an internship site
offering facilities, resources, and supervision to students. Both parties agree to the following:
I. Duties and Responsibilities of the University
1. The University will be responsible for internships that are conducted during a regular academic
semester(s) or scheduled summer term(s). The University and the organization agree to schedule
the internship hours to mutually benefit all parties involved and to conform to the scheduling
formula of 100 hours of site contact to equal one credit.
2. The University shall certify eligibility for students registering internships for academic credit.
Approved students will have the appropriate educational background and skills consistent with
the advertised internship and departmental requirements for participation.
3. The University determines the amount of academic credit to be earned through the internship and
establishes all academic requirements that the student must meet to earn the credit. The
University establishes a grading system and criteria to earn the grade upon completion of the
internship.
4. The University will assign a faculty member to monitor and evaluate the student's performance
during the internship. The University will assume all costs associated with faculty supervision of
the intern.
5. The University, at the beginning of the internship term, will provide the Organization with all
evaluation materials and the expected timeline for submission.
6. The University agrees to advise students of any known policies, procedures and requirements of
the internship as specified by the Organization.
7. The University, at the beginning of the internship term, will inform the Organization of course
requirements such as the intern's attendance at meetings/seminars or activities that may take the
intern away from the assignment.
8. The University may request termination of the internship placement for any student not
complying with University guidelines and procedures for the internship program, as long as the
Organization has been notified.
9. The Organization understands that as member of the UNCW System of Higher Education, the
University is prohibited from purchasing insurance. As a public university and state
2
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instrumentality there is no statutory authority to purchase insurance and it does not possess
insurance documentation.
II. Duties and Responsibilities of the Organization
1. The Organization agrees to prepare an internship job description that outlines the duties and
responsibilities of the intern. The University will use this document to determine the suitability of
the internship for academic credit. Should changes to the job description be necessary after the
internship is approved, the Organization agrees to notify the University of such changes.
2. The Organization agrees to notify the University of all selection criteria and any requirements of
the selection process including but not limited to background investigations, drug testing, health
screenings etc.
3. The Organization selects interns based on the Organization's needs and preferences.
4. The Organization determines the schedule that the intern will maintain on premises. The total
scheduled hours will comply with standards established by the University for the award of credit
hours: 100 hours of site contact equals one credit.
5. S. The Organization agrees to provide suitable workspace and resources for the intern to complete
the internship assignment. The Organization will also provide orientation, training, supervision
and evaluation of the intern.
6. The Organization shall provide all reasonable information requested by the University on a
student's internship performance. If there are any student evaluations, they will be completed and
returned according to any reasonable schedule agreed to by the University and the Organization
7. The Organization agrees to make a reasonable effort to cooperate with the University's request for
a faculty site visit(s) during the internship.
8. Should the Organization become dissatisfied with the performance of a student, the Organization
may request removal of the student. This should occur after the University has been notified in
advance and a satisfactory resolution cannot be obtained.
_____________________________________
Signature of Sponsor/Organization
__________________________
Date
_____________________________________
Signature of Intern
__________________________
Date
Leaders of Tomorrow
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Field Experience/Internship Supervisor Evaluation Form
Student’s Name______________________________________________________________
University Supervisor Name: ___________________________________________________
Duration of Field Experience/Internship _____________________to ___________________
Beginning month/day/year
Ending month/day/year
Location of Field Experience/Internship __________________________________________
Directions to Field/Internship Supervisor: Please evaluate student’s performance by circling the most
appropriate number.
Strongly
Strongly
Agree
Disagree
1.
The quality of the student’s work was consistently excellent.
5
4
3
2
1
2.
The student was very reliable about fulfilling the requirements
of the internship.
5
4
3
2
1
3.
The student consistently arrived on the site as scheduled.
5
4
3
2
1
4.
The student was always considerate and professional.
5
4
3
2
1
Internship Host Supervisor’s Comments about this student’s internship:
Internship Host Supervisor______________________ /__________________________ ____________
Print Name
Signature
Date
Please fax or e-mail this signed form to:
(Instructor Name)
University of North Carolina Wilmington
Watson School of Education
Department of Educational Leadership
601 South College Road
Wilmington, North Carolina 28403-5991
fax:
(910) 962-3609
Leaders of Tomorrow
Page 27
Prepared by:
Dr. Howard Coleman
Dr. Marsha Carr-Lambert
Dr. William Sterrett
Leaders of Tomorrow
Page 28