Print Form
SCHOOL OF HUMAN ECOLOGY
SERVICE LEARNING
MANUAL
QuickTime™ and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
Editor:
Sue Bailey, Ph.D., CFCS
Professor and Director
School of Human Ecology
2008 ed.
TABLE OF CONTENTS
Item
Page Number
Purpose
3
Mission
3
Most Often Asked Questions and the Answers
4
HEC 4990 Internship Syllabus
5
HEC 4252 Field Experience: Food Systems Syllabus
8
HEC 4251 Field Experience: Health Care Syllabus
12
Service Learning Application Form
16
Service Learning Roles and Responsibilities
17
Check Sheet of Responsibilities
18
Course Objectives for Internship/Field Experience
19
Guidelines for the Journal and Final Presentation
20
Journal Report Form
21
Final Evaluation of Student by Employer Form
24
Evaluation of Service Learning Experience by Student Form
26
Service Learning Sites
28
PURPOSE
The purpose of the School of Human Ecology’s Service Learning Manual is to guide and
assist students, site supervisors, and university supervisors in the Practicum/Field
Experience/ Internship courses. It contains forms with detailed instruction to be used
prior to, during and at the conclusion of the experience. Information about roles and
responsibilities of the students, site supervisors, and university supervisors is provided.
Students are expected to complete requirements by due dates.
SERVICE LEARNING MISSION
The service learning experience is an interface opportunity between academics and the
workplace. The service learning experience fosters the transference and integration of
the knowledge base of Human Ecology into competencies required in the workplace.
Networking opportunities with professionals are provided during the service learning
experience as well as interaction with clients.
MOST OFTEN ASKED QUESTIONS ABOUT THE SERVICE LEARNING EXPERIENCE
Q.
A.
Q.
A.
Q.
A.
Q.
A.
Plans should begin two semesters prior to when you expect to complete your field
experience/internship.
First, the application form in this manual should be completed and turned in to the Director of the
School of Human Ecology two semesters prior to when you complete your experience.
You will attend a meeting set by the Director early in the semester prior to the semester the
experience is to be completed. At this meeting specific steps to follow will be explained.
These are decisions made and agreed upon by you and your university supervisor. However, you
must research employers and employment opportunities prior to making the above decisions. The
list of sites in this Manual Appendix will give you ideas for placement.
Q.
A.
Yes
Q.
A.
Maybe. Some agencies pay while others do not.
Q.
A.
Q.
A.
Q.
A.
In order to receive a letter grade of A, B, C, D, or F, greater supervision and evaluation than time
permits the university supervisor are required. In addition, the purpose of this course is on-thejob work experience and not a course filled with close university supervision and assessments.
Presently, you must be a senior with the majority of course work completed in your major and
concentration. Please see the HEC Schedule of Courses to find out which semesters field
experiences/internships are offered in the different concentrations.
Students who are enrolled in the Food, Nutrition and Dietetics Concentration take a field
experience. Child Development & Family Relations and Family & Consumer Sciences
Education non-licensure students must take Internship. Housing & Design and Merchandising &
Design students are not required to take field/internship experience, but may elect to do so.
HUMAN ECOLOGY
HEC 4990 INTERNSHIP
Instructors:
Office Number:
Phone Number:
Faculty in the School
of Human Ecology
South Hall, Room 105
372-3157
Text(s): Service Learning Manual
(2008 ed.), Sue Bailey
Catalog Description:
Credit 8-12
Prerequisites: HEC Major, Senior standing. Supervised work experience. Application must be
submitted to internship coordinator two semesters prior to internship semester.
Course Objectives:
Below are course objectives that all students must obtain. However, in each internship there will
be additional/specific objectives which students must obtain. These will be determined in
consultation with the student, university supervisor, and/or site supervisor.
At the completion of this course, the student will be able to
1.
2.
3.
4.
5.
6.
analyze the organizational structure of an agency, business, and/or institutions (hereafter
only the term “agency” will be used);
state the overall mission, goals, and policies of agency;
assume responsibility for performing duties in a professional manner;
conform to appropriate standards and policies of the agency;
communicate and interact effectively with management, peers, and/or clients including
families; and
demonstrate ability to apply academic theory to a variety of job situations.
Policies:
1.
Only Human Ecology majors may enroll in HEC 4990.
2.
Attendance at scheduled times at internship site is mandatory. Any absence should be
made up with the approval of the site supervisor and the university supervisor. Regular
meetings with the university supervisor are required.
3.
Plagiarism, cheating, and other forms of academic dishonesty are prohibited. Students
guilty of academic misconduct either directly or indirectly through participation or
assistance are immediately responsible to the instructor of the class. In addition to other
possible disciplinary sanctions which may be imposed through the regular institutional
procedures as a result of academic misconduct and subsequent to the due process hearing,
if requested by the student, the instructor has the authority to assign an F or a zero for the
exercise or examination, or to assign a U in the course.
Major Teaching Methods:
Onsite participation; regular meetings with the university supervisor; keeping a journal; student
presentation; evaluations.
Special Instructional Materials:
Items to satisfactorily complete duties and assignments while on the job will be specified as
necessary.
Disability Statement:
Students with disabilities should contact the Coordinator of Disability Services in Room 112 or
the University Center or by calling 372-6119 during the first week of classes.
Hope Scholarship Statement:
It is the responsibility of the student to earn the Grade Point Average required to keep the Hope
Scholarship. If you do not understand the assignments in this course and/or how the grades for
the assignments and/or the course are determined, it is your responsibility to ask the Instructor.
Please clarify any concerns you may have with the instructor during the first week of classes. If
you do not think you can be successful in this course, you should officially drop the course prior
to the fourteenth day of the semester so that the course is not calculated as a part of your
attempted semester load of credits.
Grading and Evaluation Procedures:
A letter grade of S or U will be assigned by the university supervisor. The grade is based on
student work experience, assignments, and evaluations. If a letter grade of incomplete (I) or
unsatisfactory (U) is assigned, the student(s) must have a hearing before the internship
committee. The internship supervisor will initiate this hearing.
Note: A student cannot graduate from Tennessee Technological University with a “U” on their
record. A “U” must be removed by repeating HEC 4990 with a grade of satisfactory. An “I”
must be completed within one year from the time of receiving it; otherwise, the “I” becomes a
“U”.
Evaluation of the Site Supervisor: This evaluation includes a quantitative and qualitative
evaluation.
Evaluation of the University Supervisor: This evaluation includes an evaluation of the journal,
the presentation, and overall performance related to meeting and/or setting deadlines and
objectives.
Topics to be covered:
Varies with internship location.
Additional Information:
1)
A minimum of 2.5 GPA in HEC course work and a minimum of 2.0 GPA in overall TTU
course work are required to enroll in HEC 4990 Internship for CDFR and HEED. For
HEHO and E, a minimum 2.5 overall GPA and 2.85 GPA in HEC coursework is
required. Also, in HEHO and HEME an analysis of coursework is required, in addition
to the application, by 2 faculty and the director. If the minimum GPA requirements are
not met, a HEC internship committee will assist in the development and approval of a
plan of action leading toward graduation for the student. For students with experiences
equivalent to an internship, the HEC internship committee will advise the student(s) on a
plan of action thus enabling the student(s) to meet degree requirements.
2)
Student must submit to the university supervisor (faculty member that will be directing
the student’s internship experience) a completed application two semesters prior to
enrollment in HEC 4990 internship.
3)
Student must supply name(s) of possible internship sites to the university supervisor for
approval. It is the student’s responsibility to locate and secure an internship. If a student
is unsuccessful in securing an approved site, a plan of action enabling the student to meet
degree requirement must be developed. This plan must be approved by the student’s
academic advisor.
4)
An internship site(s) must be secured prior to the first day of registration of the semester
of the internship. If the student has not secured an internship site by this date, the student
must contact his(her) advisor and an alternative resolution for internship must be
developed.
5)
Thirty (30) hours of on-the-job work must be completed for each credit hour earned, i.e.,
12 credit hour internship x 30 = 360 hours; 8 credit hour internship x 30 = 240 hours of
work.
6)
Assignments will be minimal since the emphasis of the internship is to gain professional
work experience in the student’s concentration of study. Assignments will include
journals using the forms included in this manual and a final presentation. The format of
this presentation will be determined by the university supervisor and the intern. The
journals are due weekly and will be reviewed by the university supervisor and frequent
feedback will be provided. The journals are to be completed away from the job.
HUMAN ECOLOGY
HEC 4252 FIELD EXPERIENCE - Food Systems
Instructor’s Name: Dr. Melinda Anderson, RD, LDN
Text(s): Professional journals,
or Dr. Cathy Cunningham, Rd, LDN
publications and library
Office Number: South Hall
materials
Phone Number: 372-3157
E-Mail Number: MAnderson@tntech.edu or CCunningham@tntech.edu
Catalog Description:
Credit 6-12
Senior standing. Supervised work experience in a food related organization for application of
food service, inspection, or quality control skills. Prerequisites: HEC 4240
Suggested Texts:
4252 Course Objectives:
At the completion of this course, the student will be able to
1.
understand how communication is essential between employer, co-workers, and others in
maintaining high quality, documented service;
2.
demonstrate responsibility for professional conduct, courtesy, promptness, completing
assignments and maintaining a positive attitude in an internship organization;
3.
describe the organizational structure involving personnel and lines of authority in written
and oral form;
4.
present the process and evaluation of problem solutions in written and oral form;
5.
describe orally/written health care education delivery methods, cost control procedures
and financial management systems for their internship organization; and
6.
adhere completely to all policies and procedures of their internship organization.
Policies:
Plagiarism, cheating, and other forms of academic dishonesty are prohibited. Students guilty of
academic misconduct directly or indirectly through participation or assistance are immediately
responsible to the instructor of the class. In addition to other possible disciplinary sanctions
which may be imposed through the regular institutional procedures as a result of academic
misconduct and subsequent to the due process hearing, if requested by the student, the instructor
has the authority to assign an F or a zero for the exercise or examination, or to assign an F in the
course. Missed deadlines for submission of journals or portfolio or being tardy, absent or
changing assigned work hours frequently will result in an unsatisfactory grade for the course.
Not adhering to the Site Supervisor’s policies will result in an unsatisfactory grade.
Major Teaching Methods: Mentoring from site supervisor; personal assistance from teacher.
Special Instructional Materials: Current literature, regulations, Internet and patient materials.
Disability Statement:
Students with a disability requiring accommodations should contact the Office of
Disability Services (ODS). An Accommodation Request (AR) should be completed as soon as
possible, preferably by the end of the course orientation period. The ODS is located in
the Roaden University Center, Room 112; phone 372-6119.
Hope Scholarship Statement:
It is the responsibility of the student to earn the Grade Point Average required to keep the Hope
Scholarship. If you do not understand the assignments in this course and/or how the grades for
the assignments and/or the course are determined, it is your responsibility to ask the Instructor.
Please clarify any concerns you may have with the instructor during the first week of classes. If
you do not think you can be successful in this course, you should officially drop the course prior
to the fourteenth day of the semester so that the course is not calculated as a part of your
attempted semester load of credits.
Grading and Evaluation Procedures:
Each student will work on unique internship experiences with unique methods and solutions.
Student, site supervisor and TTU instructor who determine deadlines, expectations, and
portfolio/presentation requirements will agree on a written learning contract.
Course and Student Responsibilities Each student will file an individual learning contract.
Sample grading system for course:
20% Site supervisor's evaluation (midterm and final)
40% TTU Supervisor's evaluation (midterm and final)
40% Portfolio and presentation
Topics to be covered: See competencies document and learning contract.
Additional Information:
Each student will be required to pay liability insurance premium to TTU before beginning
internship (reporting to work site). Any travel expenses or liabilities undertaken by the intern for
completing course requirements will not be covered by TTU.
1.
Written weekly (e-mail or WEBCT transmission) journal communiqués with TTU
supervisor (copied to Site Supervisor and Portfolio). The journal entries should include:
a.
the student's perception of and reaction to the job occurrences, experiences and
observations.
b.
an evaluation of these job occurrences, experiences and observations.
c.
the student's suggestions for improving the internship situations and experiences.
d.
e.
f.
2.
3.
4.
5.
6.
description of observations, skills and portfolio competencies
deficiencies or situations which inhibit effective job performance.
a dated, neat, legible, clear and concise record of all activities on standard size
paper.
Attendance at all orientation meetings.
Arrange at least one site visit with TTU supervisor and phone call conferences.
Attendance with short portfolio presentation of individual project (case of issue or
situation)
Attend evaluation conference with site supervisor and TTU supervisor.
Submit portfolio within 7 days of last workday.
Portfolio Competencies and Criteria
A portfolio is used to assess and document authentic job skills. It is not like taking a test and
describing theories or writing an answer, it is describing and documenting your set of skills,
attitudes, knowledge and abilities unique to your internship situation.
Your portfolio evidence should be neat, clean and labeled. It should describe how the
information will be important to your use in the future. You should describe the significance to
the course content or goals in your portfolio.
I.
II.
III.
IV.
V.
VI.
Portfolio Content:
(see sample Table of Contents)
Full description of the organization or agency should be included:
a.
state the overall goal or mission
b.
outline and diagram the organizational structure
c.
identify key personnel and their responsibilities
d.
identify and summarize agency policies
e.
identify the responsibilities and duties of your Site Supervisor using a job
description format.
f.
describe the work environment and its challenges and opportunities.
g.
address, phone and FAX numbers for your Site Supervisor.
A statement of your personal goals and objectives during your internship.
Copies of tally sheets and journals mailed to TTU Supervisor.
Information used by professionals – organized by content area.
Business cards of other professionals who interact with your Site Supervisor or others in
the work team.
Photos of important events and people you work with
These goals should be considered in presenting your portfolio entries. The intern will:
1.
Develop ability to apply principles and generalizations already learned to new problems
and situations.
2.
Develop ability to think creatively (photographs are excellent documentation).
3.
4.
5.
6.
Develop skill in using materials, tools, and/or technology central to the job selected.
Prepare for food systems management or graduate study.
Develop a commitment to personal achievement.
Develop ability to perform skillfully.
10
25
10
10
20
20
5
Portfolio Grading system:
Organization, cross referenced
Completeness
Neat, grammar, spelling
Evidence of creativeness
Evidence of understanding principles and generalizations
Evidence of using multiple resources, skills, tools, technology
Sturdy container
Pre-Internship Orientation:
Syllabus and course requirements
Insurance
Site Supervisor evaluation (midterm and final), instructor visit
Developing good portfolios and specific objectives
Professional demeanor and professional dress
Relationship to your site supervisor and position in the organization
Reporting and record keeping requirements
Ethical Decision Making
Confidentiality
Importance of punctuality and communicating, personal calendar
Business card exchange procedures
“A Word from Previous Interns”
“Dear Senior” questionnaire (pre and post internship)
Internship Checkshee
HUMAN ECOLOGY
HEC 4251 FIELD EXPERIENCE - Health Care
Instructor’s Name: Dr. Cathy Cunningham, RD, LDN
Text(s): Professional journals,
or Dr. Melinda Anderson, RD, LDN
publications and library
Office Number: South Hall,
materials
Phone Number: 372-3157
E-Mail Number: CCunningham@tntech.edu or maanderson@tntech.edu
Catalog Description:
Credit 6-12
Senior standing. Supervised work experience in a health care facility to develop medical
nutrition therapy skills.
Prerequisites: HEC 4240 and 4270.
Suggested Texts:
Pathophysiology Made Incredibly Easy (2002) by Michael Shaw, Springhouse Corp.,
Springhouse, PA
Practical Applications in Lab Assessment of Nutritional Status (2002) by M. D. Litchford.
CASE Software.
Any medical dictionary, lab values handbook
The Profession of Dietetics (2000) by Payne-Palacio and D,D, Carter.
4251 Course Objectives:
At the completion of this course, the student will be able to
1.
understand how communication is essential between employer, co-workers, and others in
maintaining high quality, documented service;
2.
demonstrate responsibility for professional conduct, courtesy, promptness, completing
assignments and maintaining a positive attitude in an internship organization;
4.
describe the organizational structure involving personnel and lines of authority in written
and oral form;
4.
present the process and evaluation of problem solutions in written and oral form;
5.
describe orally/written health care education delivery methods, cost control procedures
and financial management systems for their internship organization; and
6.
adhere completely to all policies and procedures of their internship organization.
Policies:
Plagiarism, cheating, and other forms of academic dishonesty are prohibited. Students guilty of
academic misconduct directly or indirectly through participation or assistance are immediately
responsible to the instructor of the class. In addition to other possible disciplinary sanctions
which may be imposed through the regular institutional procedures as a result of academic
misconduct and subsequent to the due process hearing, if requested by the student, the instructor
has the authority to assign an F or a zero for the exercise or examination, or to assign an F in the
course. Missed deadlines for submission of journals or portfolio or being tardy, absent or
changing assigned work hours frequently will result in an unsatisfactory grade for the course.
Not adhering to the Site Supervisor’s policies will result in an unsatisfactory grade.
Major Teaching Methods: Mentoring from site supervisor; personal assistance from teacher.
An internship location at a health care facility is required for any student requesting an ADA
Verification Statement and will include both food service administration and dietetics rotations.
Special Instructional Materials: Current literature, regulations, Internet and patient materials.
Disability Statement:
Students with a disability requiring accommodations should contact the Office of
Disability Services (ODS). An Accommodation Request (AR) should be completed as soon as
possible, preferably by the end of the course orientation period. The ODS is located in
the Roaden University Center, Room 112; phone 372-6119.
Hope Scholarship Statement:
It is the responsibility of the student to earn the Grade Point Average required to keep the Hope
Scholarship. If you do not understand the assignments in this course and/or how the grades for
the assignments and/or the course are determined, it is your responsibility to ask the Instructor.
Please clarify any concerns you may have with the instructor during the first week of classes. If
you do not think you can be successful in this course, you should officially drop the course prior
to the fourteenth day of the semester so that the course is not calculated as a part of your
attempted semester load of credits.
Grading and Evaluation Procedures:
Each student will work on unique internship experiences with unique methods and solutions. A
written learning contract will be agreed on by student, site supervisor and TTU instructor which
deadlines, expectations, and portfolio/presentation requirements.
Course and Student Responsibilities Each student will file an individual learning contract.
Sample grading system for course:
20% Site supervisor's evaluation (midterm and final)
40% TTU Supervisor's evaluation (midterm and final)
40% Portfolio and presentation
Topics to be covered: See Competencies document
Additional Information:
Each student will be required to pay liability insurance premium to TTU before beginning
internship (reporting to work site). Any travel expenses or liabilities undertaken by the intern for
completing course requirements will not be covered by TTU.
1.
Written weekly (e-mail or WEBCT transmission) journal communiqués with TTU
supervisor (copied to Site Supervisor and Portfolio). The journal entries should include:
a.
2.
3.
4.
5.
6.
the student's perception of and reaction to the job occurrences, experiences and
observations.
b.
an evaluation of these job occurrences, experiences and observations.
c.
the student's suggestions for improving the internship situations and experiences.
d.
description of observations, skills and competencies (refer to JADA
95:10, 1118-1119) and portfolio competencies
e.
deficiencies or situations which inhibit effective job performance.
f.
a dated, neat, legible, clear and concise record of all activities on standard size
paper.
Attendance at all orientation meetings.
Arrange at least one site visit with TTU supervisor and phone call conferences.
Attendance with short portfolio presentation of individual project (case study of patient or
situation )
Attend evaluation conference with site supervisor and TTU supervisor.
Submit portfolio within 7 days of last work day.
Portfolio Competencies and Criteria
A portfolio is used to assess and document authentic job skills. It is not like taking a test and
describing theories or writing an answer, it is describing and documenting your set of skills,
attitudes, knowledge and abilities unique to your internship situation.
Your portfolio evidence should be neat, clean and labeled. It should describe how the
information will be important to your use in the future. You should describe the significance to
the course content or goals in your portfolio.
I.
II.
III.
IV.
V.
VI.
Portfolio Content:
(see sample Table of Contents)
Full description of the organization or agency should be included:
a.
state the overall goal or mission
b.
outline and diagram the organizational structure
c
identify key personnel and their responsibilities
d.
identify and summarize agency policies
e.
identify the responsibilities and duties of your Site Supervisor using a job
description format.
f.
describe the work environment and its challenges and opportunities.
g.
address, phone and FAX numbers for your Site Supervisor.
A statement of your personal goals and objectives during your internship.
Copies of tally sheets and journals mailed to TTU Supervisor.
Information used by professionals – organized by content area.
Business cards of other professionals who interact with your Site Supervisor or others in
the work team.
Photos of important events and people you work with
These goals should be considered in presenting your portfolio entries. The intern will:
1.
2.
3.
4.
5.
6.
Develop ability to apply principles and generalizations already learned to new problems
and situations.
Develop ability to think creatively (photographs are excellent documentation).
Develop skill in using materials, tools, and/or technology central to the job selected.
Prepare for ADA dietetic internship, food service management or graduate study.
Develop a commitment to personal achievement.
Develop ability to perform skillfully.
10
25
10
10
20
20
5
Portfolio Grading system:
Organization, cross referenced
Completeness
Neat, grammar, spelling
Evidence of creativeness
Evidence of understanding principles and generalizations
Evidence of using multiple resources, skills, tools, technology
Sturdy container
Pre-Internship Orientation:
Syllabus and course requirements
Insurance
Site Supervisor evaluation (midterm and final), instructor visit
Developing good portfolios and specific objectives
Professional demeanor and professional dress
Relationship to your site supervisor and position in the organization
Reporting and record keeping requirements
Ethical Decision Making
Confidentiality
Importance of punctuality and communicating, personal calendar Business card exchange
procedures
“A Word from Previous Interns”
“Dear Senior” questionnaire (pre and post internship)
Internship Checksheet
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
SERVICE LEARNING APPLICATION
Must be submitted to the Director of the School of Human Ecology two semesters prior to the service learning
semester. Please make a copy for your files.
NAME____________________ ______________________________________________
LAST
FIRST
MIDDLE
ADDRESS_______________________________________________________________
CITY_______________________________, STATE________________ZIP__________
PERMANENT ADDRESS__________________________________________________
CITY_______________________________, STATE________________ZIP__________
HOME PHONE_________________________
E-MAIL______________________
CONCENTRATION:
CHILD DEVELOPMENT & FAMILY RELATIONS
FAMILY AND CONSUMER SCIENCES
FOOD, NUTRITION & DIETETICS
HOUSING AND DESIGN
MERCHANDISING AND DESIGN
________
________
________
________
________
LIST DESIRED AGENCIES IN ORDER OF PREFERENCE.
1._________________________________
3._____________________________
Supervisor’s Name___________________
Supervisor’s Name_______________
Address____________________________
Address _______________________
Phone______________________________
Phone__________________________
2._________________________________
4._____________________________
Supervisor’s Name___________________
Supervisor’s Name_______________
Address____________________________
Address________________________
Phone______________________________
Phone__________________________
1.
A.
B.
C.
2.
3.
Using the appropriate “Requirements for B.S.-HEC” sheet, check it using the following code.
Turn in the appropriate one with this application. See your advisor for the appropriate requirement sheet.
Mark the courses by writing in the grade earned for the courses completed prior to your service learning application
due date.
Mark courses to be taken the same semester as the internship by noting this in the left margin beside the course(s).
Mark courses to be taken following the internship by noting this in the right margin beside the course(s).
Turn in an updated, typewritten resume with this application.
Turn in a completed Sexual Harassment Survey. Check with your advisor because if you completed one in HEC 1000,
the copy may be in your academic advising folder.
SEMESTER AND YEAR PLANNING __________INTERNSHIP_________FIELD EXPERIENCE
______________________________________
UNIVERSITY SUPERVISOR’S SIGNATURE
_______________________________ ______________
STUDENT’S SIGNATURE
DATE
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
SERVICE LEARNING ROLES/RESPONSIBILITIES
Student
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Submit application to the University Supervisor two semesters prior to the proposed
practicum, field experience and/or internship date.
Attend all meeting(s) held by the University Supervisor.
Schedule individual conferences with University Supervisor as needed.
Identify potential sites and secure University Supervisor’s approval of sites.
A.
Secure site interview with cooperating agency
B.
Report results of interview to University Supervisor
C.
Continue conferences with University Supervisor until placement is complete
Secure professional liability insurance and personal liability for travel or injury.
Begin practicum, field experience and/or internship, after paying all applicable TTU fees,
on approved date and fulfill on-the-job requirements.
Become familiar with the agency including organizational structure; location(s); client/
customer; mission and goals; policies including attendance, leave, injury/illness during
the first week of the course.
Complete and distribute Agreement Statement by end of first week of the semester when
enrolled in the course.
Submit weekly journals to the University Supervisor by assigned deadline. These must
be mailed to the University Supervisor’s work address or delivered to the University
Supervisor’s School mail box.
For Field Experiences and Internships make final presentation which reflects the work
experience and activities of the experience and includes the organizational structure,
mission, goals, and policies of the agency.
Complete Student Evaluation and Information Forms.
Complete all tasks in a professional manner including writing a thank you letter to the
site supervisor.
Agency
1.
2.
3.
4.
5.
6.
7.
Conduct an initial interview with prospective student.
Assign an employee or yourself as the site supervisor.
Schedule student for the required amount of hours.
Make available work and/or learning experiences/opportunities necessary to complete
course requirements.
Acquaint student with organizational structure, mission, goals, and policies of agency.
Periodically review and evaluate student’s progress and share with student and university
supervisor.
Complete all required evaluations of student and send to the University Supervisor.
2
University Supervisor
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Supervise experience.
Evaluate Application.
Meet with student to plan placement or plan a course of action for completing degree.
Approve cooperating agency as site for course.
Conduct meeting with student to give instructions and guidelines for course.
For Field Experiences and Internships, evaluate weekly Journal and final presentation.
Maintain contact with cooperating agency supervisor throughout the semester.
Keep student appraised of performance.
Assign final grade for the course.
Follow-up contact with site supervisor.
Turn student’s and site supervisor’s completed Evaluation Forms in to the School’s
administrative office by the end of the semester in which the course is completed.
School of Human Ecology Director
1.
2.
Assign Practicum, Field Experience and Internship courses to faculty members.
Maintain records (Student Evaluation Forms and Site Supervisor Evaluation of Forms).
TENNESSEE TECHNOLOGICAL UNIVERSITY SCHOOL OF HUMAN ECOLOGY
CHECKSHEET of RESPONSIBILITIES
Person Responsible:
Student
Site
University
__________________________________________________Supervisor
Supervisor
Complete and turn in:
Application
X
Set Meeting Date(s)
X
Approve Site(s)
X
Interview Student
X
Secure Site
X
Secure Required Insurances
X
Verify Required Insurance Purchase
X
Oversee Agreement Statement completion
X
Complete Course Objectives
X
Supervise daily work activities
Supervise overall service learning experience
Perform duties as assigned by
Site Supervisor
For Field Experience and Internships:
1.
Complete Journal and turn in weekly X
2.
Review Journal and provide feedback
to student
3.
Plan Final Presentation/Portfolio format
and location
4.
Final Presentation/Portfolio
Complete Midterm and Final
Evaluations of Student
Complete Evaluation of Experience
Evaluate and assign grade
Turn in Student’s and Site Supervisor’s
Evaluation to the HEC Administrative Office
X
X
X
X
X
X
X
X
X
X
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
COURSE OBJECTIVES FOR FIELD EXPERIENCE/INTERNSHIP
Must be completed and distributed to appropriate parties by the end of the first week of the field
experience/internship.
Course Objectives:
1.
2.
3.
4.
5.
6.
Analyze the organizational structure of an agency, business, and/or institutions (hereafter
only the term “agency” will be used).
State the overall mission, goals, and policies of agency.
Assume responsibility for performing duties in a professional manner.
Conform to appropriate standards for appearance and image of the agency.
Communicate and interact effectively with management, peers, and/or clients.
Demonstrate ability to apply academic theory to a variety of job situations.
Specific Objectives:
Please identify in consultation with the site supervisor specific objectives and/or student
competencies for your service learning experience.
1.
2.
3.
4.
5.
6.
Please use additional pages if needed.
________________ __________________________ ____________________________
Student’s Signature Site Supervisor’s Signature
University Supervisor’s Signature
Make 2 copies, one for the site supervisor and yourself. Give the original to the university
supervisor.
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
GUIDELINES FOR THE JOURNAL AND FINAL PRESENTATION
I.
Journal
To be submitted each week to the University Supervisor on a designated date. If you plan to
mail the journal please purchase a stamped envelope for each week that you will be working and
address it to the University Supervisor prior to the start of your field experience/internship. If
you plan to e-mail your journal, please preplan the details with your University Supervisor.
A.
B.
C.
II.
Work Schedule - complete for each day worked during the previous week.
Presentation Preparation - list what you have done during the week toward your final
presentation.
Experience and Reflection Sections - complete a summary of work experiences for each
day worked and your reflections of the week.
Final Presentation
The university supervisor and you will determine the final presentation format prior to the
beginning of your experience. Included in this presentation should be the specific objectives for
your internship experience and how these were accomplished.
JOURNAL REPORT
INSTRUCTIONS: Complete each week a complete Journal Report. Turn in weekly to the
University Site Supervisor.
Name________________________________________
Week Number
Agency Site_________________________________
Date_______________
Site Supervisor________________________________
Work Schedule
Month
Date
Day
Time
Hours
________
________
________
________
________
________
________
_______
_______
_______
_______
_______
_______
_______
________
________
________
________
________
________
________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
____________
____________
____________
____________
____________
____________
____________
Total Hours Worked This Week
____________
Total Hours Prior to This Week
____________
Grand Total Hours Worked
____________
Hours to Be Worked
____________
Circle Total Hours Required:
240/360
Preparation for Final Presentation (list what you have done this week toward your final
presentation).
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Experience Section - an abbreviated daily description of work assigned and completed
including routine activities and special events as well as special project(s).
Day
1
Experiences
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
2
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
3
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
4
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
5
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
6
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
7
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Reflection Section - a narrative capturing important activities of the week and your personal
evaluations/judgments of these. In writing this, please reflect on how
your college coursework helped you to analyze and/or work through the
activity(ies).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
FINAL EVALUATION OF STUDENT BY EMPLOYER
Student Name__________________________________________________________________
Semester of Field
Experience/Internship______________________________________________
Organization’s Name and Address__________________________________________________
______________________________________________________Zip Code________________
Supervisor’s Name and Title______________________________________________________
Telephone Number______________________________________________________________
Instructions: Using the rating scale below, rate the following characteristics of the student.
Please note that there is an additional Evaluation Form for FND in the Appendix. Employers of
FND students should complete it as well as this evaluation. For all others, this form should be
completed.
Rating Scale:
5-always
4-usually 3-sometimes
2-seldom
5
PROFESSIONALISM
Job Performance:
accepts, understands and completes
assignments
cooperative
dependable
honest
industrious
loyal
orderly in workplace
responsible/reliable
shows initiative
Appearance and Image:
body language – alert and attentive
neat and clean
wears appropriate dress and accessories
Personal Characteristics:
is pleasantly assertive
has a positive attitude
demonstrates problem solving skills
demonstrates self-confidence
is flexible
is motivated
demonstrates leadership skills
4
1-never
3
2
1
NA
5
4
3
2
1
NA
HUMAN RELATIONS
The student is:
open-minded
tactful
courteous
self-controlled
respectful of confidentiality
effective with clientele
The student works cooperatively with:
administration/management
immediate supervisor
fellow workers
supporting staff
List the outstanding characteristics of this student.
Identify the areas in which the student needs further development.
Based on the student’s performance of duties with your agency, rate the overall potential of the
student in this job area:
_____outstanding _____very good _____satisfactory _____poor
_________________________________________________ ________________________
Signature
Date
TENNESSEE TECHNOLOGICAL UNIVERSITY
SCHOOL OF HUMAN ECOLOGY
EVALUATION OF SERVICE LEARNING EXPERIENCE BY STUDENT
Student Name_________________________________________________________________
Semester/Year _____________________ Student’s Concentration_______________________
Student’s Permanent Address_____________________________________________________
_____________________________________________________
Student’s Permanent Phone Number__________________________
Agency’s Name and Address_____________________________________________________
____________________________________________________________________________
Agency’s Phone Number_______________________
Supervisor’s Name and Title_____________________________________________________
Please complete the questions.
I. Agency’s Contribution to this Service Learning Experience.
A. Which activities do you believe were the MOST VALUABLE to you during the
experience and why?________________________________________________
_________________________________________________________________
_________________________________________________________________
B. Which activities do you believe were the LEAST VALUABLE to you during the
experience and why?________________________________________________
_________________________________________________________________
_________________________________________________________________
C. What activities did you want to participate in but were not able to experience or
observe?__________________________________________________________
_________________________________________________________________
_________________________________________________________________
D. Would you recommend placing students with this agency in the future? Explain.
_________________________________________________________________
_________________________________________________________________
E. Overall, were you satisfied with the agency’s contribution to your experience?
__________________________________________________________________
__________________________________________________________________
II. School’s Contribution to this Service Learning Experience.
A. Did you receive sufficient information about Field Experience/Internship?____________
____________________________________________________________________
B. Do you believe you received adequate assistance during the application process of the
field experience/internship?______________________________________________
____________________________________________________________________
____________________________________________________________________
C. Was the University Supervisor’s role adequately performed?_______________________
_______________________________________________________________________
D. What was the most helpful thing(s) the instructor did for you during this service learning
experience?_____________________________________________________________
_______________________________________________________________________
III. Academic Preparation
A. Do you feel that you were academically prepared for your service learning experience?
Explain._________________________________________________________________
_______________________________________________________________________
B. Which courses were MOST VALUABLE during your service learning experience and
why?___________________________________________________________________
_______________________________________________________________________
C. Which courses were LEAST VALUABLE during your service learning experience and
why?___________________________________________________________________
_______________________________________________________________________
IV. Other
A. Did you receive compensation for your work? If so, provide details.
_______________________________________________________________________
B. Have you discussed future employment with this agency?
_______________________________________________________________________
_______________________________________________________________________
C. List five “Learning Highlights” of your service learning experience.
1.
2.
3.
4.
5.
D. In one paragraph describe your overall impression of your experience.
DUE: Turn in with the last journal submission.
SITES
Below are agencies that have had TTU-HEC students. This is not an exhaustive or exclusive
listing of agencies
Child Development & Family Relations/
Family and Consumer Sciences
Food, Nutrition and Dietetics
1.
2.
3.
4.
5.
6.
7.
8.
9.
1.
2.
3.
4.
Agricultural Extension Service
Child Development Laboratories - TTU
Department of Consumer Affairs
Department of Human Services
Even Start
Grants held by TTU
Child Life Specialist – Area Hospitals
Plateau Mental Health Center
Upper Cumberland Human Resource Agency
5.
6.
7.
8.
9.
Columbia Health Care Association
Cookeville Country Club
Fort Sanders Diabetic Center
Heartland of Tamarac - Retirement
Care
Marriott
Nashville Memorial Hospital
RSVP Management - Quorum
Cafeteria
United States Dept. Of Agriculture
Univ. Of Connecticut - Storrs Food
Service Dept.
Housing and Design
Merchandising and Design
1.
2.
3.
4.
5.
6.
7.
8.
9.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Stamps Design
Clayborn Construction Company
CityScape of Cookeville
Fixtur-World, Inc.
Interior Design Associates
Maffetts Architects
Laws Interiors
Ruby’s Creek Fine Furniture
Williams Lighting
Belks
Colonial Williamsburg Foundation
County Seat
J.C. Penneys
Neiman-Marcus
Sears
The Limited
The Gap
Goody’s