Table of Contents
U N T
HEALTH
FACULTY
PROMOTION
HEALTH PROMOTION INTERNSHIP PROGRAM
Guidelines for writing Project Plan
33
Description, Purpose, & Goals
1
Guidelines for Final On-Campus Presentation
34
Definitions
2
Guidelines for Completing Final Summary
35
Internship Requirements
3
Site Supervisors Responsibilities
5
CHECKLISTS
Internship Settings
6
Checklist for Internship Application
36
Intern Responsibilities
8
Checklist for internship Assignments
37
Grading System
10
FORMS AND EVALUATIONS
GUIDELINES AND
WORKSHEETS FOR
ASSIGNMENTS
Intern Data Form
38
HLTH 4850
Guidelines for Final Folio
11
Guidelines for all written documents
12
Guidelines for completing Action Plan
13
Checklist for Internship Application
13
WSI Worksheet for goals and Objectives*
14
WS2 Worksheets for Action Plan*
21
Guidelines for Completing Daily Logs**
29
Guidelines for Summaries
30
Guidelines for Internship Project
31
*use of worksheets optional
**only 1 example of daily log needed, not required To complete each week
Grade Report Form
39
On campus evaluation form
40
Mid-term Site Supervisor Evaluation
41
Final Site Supervisor Evaluation
44
APPENDICIES
47
Resume Sample
48
Biographical Sketch Sample
49
UNT HEALTH PROMOTION FACULTY
Lee Ancona, Ph.D
Health Internship Coordinator
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(940) 565-2071 FAX: (940) 5654904
Email: lee.ancona@unt.edu
Jeanette Malone, MS
Kine/Health Lecturer
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(940)565-3403 FAX (940) 5654904
jeanette.malone@unt.edu
Jennifer Edwards, Health Lecturer
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(940) 565-2069 FAX: (940) 5654904
Email: Jennifer.edwards@unt.edu
Marisa Moore, Health Lecturer
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(940) 565-3426 FAX: (940) 5654904
Email: marisa.moore@unt.edu
Doryce Judd, Health/Kine Lecturer
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(940) 565-2629 FAX: (940) 5654904
Email: doryce.judd@unt.edu
Patricia Shotland MS
Health Internship Supervisor
Department of Kinesiology, Health
Promotion and Recreation
1155 Union Circle #310769
Denton, TX 76203-5017
(214) 957-0057 FAX (940) 5654904
Email: pat_shotland@hotmail.com
1
UNIVERSITY OF NORTH TEXAS HEALTH PROMOTION INTERNSHIP
Description
The internship is a planned field experience that enables the student to transition
from theory to practice, from the classroom to the professional arena. The
student intern will be guided and supervised by site and UNT faculty internship
coordinators. Site supervisors are obligated to sign agreement with UNT to
provide the planned experience for the intern. The internship is designed to offer
the students an opportunity to engage in professional activities in a supervised
and protected environment. The internship is also designed to maximize the
variety of activities and challenges that will help interns develop their professional
capacity.
Purpose
Specifically, the internship experience allows the intern opportunities:
1. To apply skills, competencies, principles and theories learned in the Health
Promotion curriculum.
2. To learn skills in management, leadership and relationships in the work
setting.
3. To develop skills in coordination, collaboration and in communication.
4. To develop the ability to evaluate self and others in professional skills
5. To creatively apply knowledge in solving health promotion problems in the
work setting.
Goals
The internship experience is carefully planned to fulfill the goals which are
aligned with the skills and competencies delineated in “A Competency –Based
Framework for Professional Development of Certified Health Education
Specialists.” The Framework was the result of the initial Role Delineation Project
in 1978 and completed in 1981 that identified and verified for the first time skills
necessary for the practice of health education in all settings. Therefore the
guiding goals for the internship program are as follows.
The health educator, working with individuals, groups, and organizations is able
to assume the responsibilities of:
I. Assessing individual and community needs for health promotion
II. Planning effective health promotion programs
III. Implementing health promotion programs
IV. Evaluating effectiveness of health promotion programs
V. Coordinating provisions of health promotion services
VI. Acting as a resource in health promotion
VII. Communicating health and health promotion needs, concerns, and
resources
2
Definitions
Intern
The intern is a Health Promotion Major or minor who is in his/her final semester
of coursework at UNT, who has been admitted to the internship program with an
approved internship site. Admission to the internship program means that the
student has met all the criteria for applying for the internship has approval from
the UNT internship coordinator and has been accepted by an approved site.
Internship Coordinator
He/She is the designated UNT faculty who is coordinating the internship program
for the semester. The internship coordinator will sign off on site contracts and will
oversee all matters pertaining to the internship program.
Internship Supervisor
He/She is the designated UNT faculty who will supervise the intern during the
semester. The internship supervisor may be the internship coordinator or other
designated UNT faculty.
Site Coordinator
He/She represents the site in contracting to take on providing the intern with the
planned field experience. This individual coordinates all the activities necessary
to provide the intern with the relevant experience. This is also the person who
signs the agreement with UNT.
Site Supervisor
He/She is the designated site personnel who will supervise the intern during the
contracted semester. The individual will be responsible to guide and evaluate the
intern. This is usually the individual who has signed the internship contract with
UNT, but could also be a designee.
Internship Site
This is the site, which has interviewed and agreed to take on the intern for the
semester. Interns may request their site of choice. Efforts will be made to match
interns with their choices. It is not always expedient; therefore the interns need to
be prepared to accept assigned sites. Final assignments are made by the
internship coordinator. After getting permission from the university internship
coordinator, students are responsible for coordinating the interview. This
process should be completed the semester prior to the internship. (For example,
Spring internship applicants should be placed by the end of Fall semester.)
Informational meetings are held each semester within the first month of classes.
Meeting time and location is posted on bulletin boards in the PEB and
announced in all Health Promotions classes. It is the responsibility of the
student to attend the meeting and be informed about the process.
3
INTERNSHIP REQUIREMENTS
(Undergraduate and Graduate)
1. Successful completion of all course work in the degree plan for
undergraduate students. Undergraduate students must update their
degree plans a semester before their internship.
2. The Undergraduate internship (6 credit hours) entails the completion of a
minimum of 320 consecutive hours in a semester (MUST BE
COMPLETED IN 12 WEEKS DURING THE SEMESTER)
3. A minimum cumulative GPA of 2.75 for all course work and a minimum
GPA of 2.75 in the health curriculum. (If either or both GPAs are
insufficient, prior approval by the Internship Coordinator will be required
before planning for the internship experience). A minimum grade of C is
required in all undergraduate health courses attempted (You must repeat
a course with a grade of D or F).
4. Interns must register for HLTH 4850.700 (6 hours), for which restricted
registration codes will be required. Restricted registration codes are
available from the Program Coordinator. Internships are offered in Spring,
Summer and Fall semesters.
5. Undergraduate students may not be simultaneously registered for any
course other than HLTH 4850 during the semester. It is strongly
recommended that interns not engage in outside employment during the
internship assignment. Concurrent employment can significantly interfere
with successful completion of the internship.
6. Students must attend an internship application meeting with the Internship
Coordinator at least (one) semester before the internship experience.
This meeting will be announced in the beginning of the Fall and Spring
semesters (The spring meeting covers materials for both summer and fall
placements) . Intending interns need to contact the Dept. Secretary to let
her have their current and active electronic addresses or telephone
contact so that they can receive information about the pre-internship
meeting. Missing the meeting and the information may postpone the
beginning and completion of the internship in time for graduation.
7. Sites must be in Texas, within driving distance not exceeding 50 miles
from UNT. The internship coordinator will discuss students’ interests and
needs for the internship experience and will assign an appropriate site to
the student. The assignment is based on the internship coordinator’s
assessment of site suitability to provide the appropriate professional
development experience for the student.
8. A signed internship agreement between UNT and the approved site will
be filed before the start of the internship. The process may sometimes
take weeks to months; it pays to plan for the internship as early as
possible.
4
9. Interns are expected to bear all expenses incidental to completion of
internship placement.
10. Most likely, sites will not pay interns for the internship. If payment is
offered, this arrangement should be clearly stated in a letter from the site
to the internship coordinator, prior to site acceptance, and copied to the
intern.
11. Take note that no interns may begin the internship before the semester in
which they have registered for HLTH 4850 (undergraduate).
12. Prior to commencement of the internship and immediately after the
interview with the site coordinator, intern must write a letter of thanks to
the site coordinator for taking time to interview them. This must take place
regardless of acceptance.
13. At the end of the internship, the intern must write a letter of
appreciation to the site and the site supervisor/s and file a copy in
the folio.
5
SITE SUPERVISOR RESPONSIBILITIES
As a member of the supervising team for the intern, the site supervisor has a
very important task in shaping the professional form of the future health
promotion professional. This field experience plays a critical part in whether
the intern will emerge as an enthusiastic and confident professional because
he/she has received guidance in building on his/her strengths and
overcoming his/her shortcomings; or as one who may approach his/her first
job confused and insecure.
The site supervisors have unique roles in offering the intern challenges and
guiding them in their professional development by kind mentoring,
appropriate praises timely affirmations and constructive evaluations.
To help the intern achieve a successful practicum, the site supervisors have
the following responsibilities:
1. Be a committed member of the mentoring team to guide, protect and
supervise the intern.
2. Be a mentor, teacher, role model and a leader to the intern
3. Interview the intern, and when deem acceptable to sign and return
agreement between site and UNT
4. Be willing to be flexible to ensure that intern’s experience meet UNT’s
internship goals
5. Be prepared to counsel and evaluate the intern at mid-term, at the end
of the internship, and at any other time when appropriate
6. Participate in site visits with internship supervisor
7. Be familiar with contents of the UNT’s internship manuals especially
with the assignments and evaluations required.
8. Help internship develop an action plan within the first week of the
internship, or by due date designated by university supervisor
9. Help student develop a project and file a project plan within the second
week of the internship, or by due date designated by university
supervisor
10. Be willing to communicate freely and openly with intern and internship
coordinator about intern progress.
11. Be ready to discuss any problems with the intern in a timely manner.
12. Complete and return intern evaluations at mid-term and at final review
dates.
13. If possible participate in intern’s professional presentation at the end of
the semester (on campus). This is optional. Site supervisors are most
welcome on campus.
6
INTERNSHIP SETTINGS
While internship placement is the responsibility of the Internship Coordinator,
students are encouraged to select a setting that they may have interest in.
There are a variety of settings that a health promotion professional can practice.
It is recommended that the intern select a setting that offers experience in an
area that he/she is interested. Start with considering what type of clients you are
interested in working with, for example, young people, old people, children,
teens, girls, boys, men, women, special populations. Then consider the kind of
environment in which you are interested in being in most part of your day, for
example, in a school, a hospital, a corporation, a college campus, a community
health center, a public health center, a volunteer site. There are other
considerations such as distance of travel, your professional goals, job
responsibilities, family responsibilities, financial resources (it is strongly
recommended that interns do not take on other employment to ensure success
in this experience) and other life inconveniences.
Let the Internship Coordinator know your setting of preference. The Internship
Coordinator may try to match a site to the setting you prefer, but it may not
always work out that way. Trust that the Coordinator has your best interest at
heart in assigning a site to place you. Should the student refuse the first
placement, the student will have to wait until all other students are placed before
an alternative can be arranged. Refusing your first placement may cause
sufficient delay in your graduation.
School Settings
Health promotion professionals work in different roles in a school environment.
Pre-kindergarten through grade twelve in public schools, day-care facilities,
alternative learning centers, private schools, parochial schools, junior colleges,
and university campuses are some examples of school environments. Roles take
the form of health instruction, health services and health promotion. In addition to
direct instruction, many school health professionals take on responsibilities to
coordinate services and design and implement student and staff wellness
programs.
Clinical Settings
Within the medical care arena, health education and health promotion activities
take the form of primary prevention through early education and intervention
initiatives. Clinical settings are found in private and public hospitals, clinics,
insurance companies, medical research facilities, pharmaceutical labs, mental
7
health facilities, geriatric centers, dental offices, and community and public
health clinics. Interns may find opportunities in patient education, community
education and health promotion, and wellness programs. Other options may be
found in social services, physical and mental rehabilitation, occupation therapy,
substance abuse rehabilitation, and physical therapy.
Community or Public Health Settings
Community Health Centers can be classified according to how they are funded.
There are many volunteer agencies that are funded by private donations. These
agencies provide many services including education, health services, disaster
relief (Red Cross) as well as research and advocacy. Often these agencies are
founded by their commitment to address problems with specific diseases. Some
examples are the American Cancer Society, the American Lung Association, and
the American Heart Association. Sometimes agencies are founded to care for
special populations, such as Special Olympics.
Government funded agencies are funded by tax dollars and are usually
administered through County and State Departments of Health. Sometimes faith
communities and professional organizations are funded through government
grants to offer health education and health services to citizens of need.
In the community and public health settings a wealth of experience and
challenges await the intern in case management, research, field work,
assessment, program development and implementation, fundraising, public
speaking, training volunteers, developing health promotion curricula and items
for social marketing.
Worksite Health Promotion Settings
Many corporations today appreciate the value of having healthy employees.
Worksite health promotion and wellness centers can be found in many large
worksite settings. Employers appreciate that prevention based programs and
intervention help improve employee morale and productivity, and reduce
absenteeism. Interns can find many challenging opportunities in working with a
worksite health promotion team. Activities may include developing and
implementing programs for stress management, smoking cessation, weight
management, employee assistance, work safety and sanitation, risk reduction
and risk management. Interns may find themselves learning and teaching
classes in healthy lifestyles.
8
INTERN RESPONSIBILITIES
1. Attend Internship Application meeting the semester prior to internship
semester to receive instructions and to ask questions.
2. Follow the list of activities for the application process, which is given out at
the Internship Application meeting.
3. Correspond or meet with university supervisor or internship coordinator to
discuss sites. Prior to interview, student must have resume and bio
approved in writing by one of the university supervisors. .Students may
recommend new internship sites not on approved list but final decision
rests with the internship coordinator.
4. Participate in an internship interview with the selected site, once internship
coordinator approves of site selection and preparation. At that interview,
student will share resume, biography and resume with site supervisor. If
selected, site coordinator will communicate directly with UNT internship
coordinator. If not selected, students will be directed to interview at
another approved site.
5. Attend pre-internship seminar, midterm evaluation, final evaluation
interview and final on-campus presentation. The pre-internship seminar will
be held the first week of classes, the time will be determined and sent
to students registered for HLTH 4850 via email, at least two weeks
prior to the meeting. It is the student’s responsibility to find out the time
and location of the meeting. Internship will start on the second week of
school. NOTE THAT NO STUDENT MAY START INTERNSHIP BEFORE
THEY ATTEND THE PRE-INTERNSHIP SEMINAR.
6. Schedule a mid-term evaluation conference with site supervisor and faculty
supervisor. This meeting will take place at the internship site. A written
evaluation from site supervisor and internship supervisor will be filed.
7. Schedule and attend a final evaluation interview involving site supervisors
and faculty supervisor toward the end of the internship. A written
evaluation from site supervisor and internship supervisor must be filed by
the last day of the internship. Interns must remind site supervisors about
final evaluation deadline.
8. Conform with regulations pertaining to professional behavior at site.
9. Submit summaries (see sample provided in folio) relating experiences
directly to completion of internship goals and objectives. You will be
graded on grammar, content, presentation, and punctuality. Due dates for
summaries are provided at the pre-internship seminar by the university
supervisor. Due dates vary from semester to semester. Assignments are
due no later than 5PM on the due date. Submit by email to the university
supervisor. Include a tentative schedule for the next week to enable
faculty supervisor to schedule site visits.
9
10. Meet with site supervisor regularly throughout the internship in order to
receive feedback as well as to share schedule and experiences.
11. Keep in regular contact with faculty supervisor throughout the internship in
order to receive feedback as well as to share experiences.
12. Problems and conflicts at internship must be shared immediately with
faculty supervisor.
13. Notify internship coordinator, faculty supervisor, and site supervisor of
absences by phone immediately, in writing, and in person later on.
Tardiness and absences will affect course grade. Absences must be made
up.
14. File a project plan with Coordinator and get his/her approval. Conduct an
internship project approved by site supervisor and internship supervisor
(see sample provided). Internship Project Plan must be submitted by the
due date. A typed-written evaluative report of project must be submitted at
completion, and no later than last week of internship.
15. Remind site supervisor to forward mid-term and final evaluation forms to
faculty supervisors upon completion.
16. Attend a final on-campus seminar. Make a 10-minute oral presentation
highlighting internship experiences. Include comments about site
selection, professional and personal goals accomplished, problems
encountered, and opportunities for growth. Audio visual aids must be
included to personalize presentation. Be prepared to answer questions
from faculty and students. The date and details of the on-campus seminar
will be provided at the pre-internship seminar on the first week of school.
17. Deliver your presentation and submit your folio to internship director at the
final seminar, or on agreed upon due date prior to the end of the semester.
10
GRADING SYSTEM:
ACTIVITY
Maximum
Quality of summaries
100 points
Your Score
Comments
Overall professional communication and cooperation (attendance at meetings, following
procedures and other professional responsibilities)
100 points
_______
__________
Quality of on-campus
Seminar and Presentation
100 points
_________
__________
Quality of mid-term evaluation
By Faculty Supervisor
100 points
_________
__________
Quality of mid-term evaluation
By Site Supervisor
100 points
_________
__________
Quality of terminal evaluation
By Faculty Supervisor
100 points
_________
__________
Quality of terminal evaluation
By Site Supervisor
100 points
_________
__________
Quality of Internship Project including
Goals and objectives
100 points
_________
__________
Quality of Student Internship
Final Summary
100 points
_________
__________
Quality of Internship
Folio (Note-book)
100 points
_________
__________
TOTAL POINTS
1000 points
_________
Percentage (your score/1000 x 100) = _________
GRADING SCALE
A = 90-100
B = 80-89
C = 70-79
D = 60-69
F = 59 and below
COMMENTS
GRADE: __________________
11
GUIDELINES FOR FINAL INTERNSHIP FOLIO
This folio is a documentation of your entire internship experience. It should be filed
in a neatly compiled 3-ring notebook, complete with a table of contents and
corresponding tabs for each section of your report. This notebook will be kept in
UNT’s KHPR Dept. as future reference for other students. If you would like to keep
one for your own reference, please make a duplicate. In situations where it is not
practical to include products of your projects in the notebook, please make
photographic record of your projects and submit with your final folio. It is a good idea
to get started with this at the very beginning of your internship so that you will not be
overwhelmed with the process at the end. The folio should include the following
items:
a)
b)
c)
d)
e)
f)
g)
h)
Internship Site Data Sheet
Biography with Photo
Resume
Action Plan: Goals and Objectives
Daily Logs: 1 or 2 examples
Summaries: 1or 2 examples
Project Plan
Project Report (includes any products you have helped developed; if
product is too large, include photographs and any relevant evidence,
evaluations, etc.)
i) Final Internship Summary
j) Final Presentation (include your PowerPoint Slides hard copy and disk)
k) Any other evidence that you may have to justify that you had a valid and
successful experience with the site.
12
GUIDELINES FOR ALL WRITTEN DOCUMENTS
For consistency and easy reading for internship supervisors, submit all documents
employing the following guidelines:
a. Type all documents (no written documents please)
b. Single spaced
c. Left aligned.
d. ARIAL FONT SIZE 12 (ARIAL 10 is acceptable if text is in a table)
e. Margins: Left and Top 1.5”: Right and Bottom 1.0 “
f. All page numbers on upper right in ARIAL 10
g. No first drafts, please. Meaning: no grammatical or spelling errors
h. Put your name on the top left header on every document
i. Submit your summaries electronically, send by attachment in a WORD
document. Please do not send your documents as part of an email.
PLEASE ADHERE TO ALL DEADLINES UNLESS YOU HAVE NEGOTIATED FOR
EXTENTIONS. NOT MEETING DEADLINES WOULD MEAN THAT NO CREDIT, or
reduced credit WOULD BE GIVEN FOR YOUR ASSIGNMENTS.
13
GUIDELINES FOR COMPLETING ACTION PLAN
1. If the worksheets are helpful, use for developing your goals and objectives with
your site supervisor. After you have completed goals and objectives, discuss with
your supervisor what you can do to achieve your objectives.
2. Each intern is responsible for developing 3 goals for the entire internship
experience and for each goal there must be at least 2 objectives. Have goals
and objectives written professionally, using the SMART model as a guideline for
objectives. Each intern will have goals and objectives unique to his/her site.
14
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal I:
Assessing Individual and Community Needs for Health Education
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL I
Competency A:
Obtain health-related data about social and cultural environments,
growth and development factors, needs, and interests
Competency B
Distinguish between behaviors that foster and those that hinder
well-being
Competency C
Infer needs for health education on the basis of obtained data
1 A.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
1B.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
1C.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
15
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal II:
Planning Effective Health Promotion Programs
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL II
Competency A:
Recruit community organizations, resource people, and potential
participants for support and assistance in program planning
Competency B
Develop a logical scope and sequence plan for a health
education program
Competency C
Formulate appropriate and measurable program objectives
Competency D
Design educational programs consistent with specified program
objectives
II A.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IIB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IIC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
16
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal III:
Implementing Health Promotion Programs
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL III
Competency A:
Exhibit competence in carrying out planned educational
programs
Competency B
Infer enabling objectives as needed to implement instructional
programs in specified settings
Competency C
Select methods and media best suited to implement program
plans for specific learners
Competency D
Monitor educational programs, adjusting objectives and activities
as necessary
III A.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IIIB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IIIC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IIID.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
17
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal IV:
Evaluating Effectiveness of Health Promotion Programs
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL IV
Competency A:
Develop plans to assess achievement of program objectives
Competency B
Carry out evaluation plans
Competency C
Interpret results of program evaluation
Competency D
Infer implications from findings for future program planning
IVA.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IVB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IVC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
IVD.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
18
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal V:
Coordinating provision of Health Promotion Services
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL V
Competency A:
Develop a plan for coordinating health promotion services
Competency B
Facilitate cooperation between and among levels of program
personnel
Competency C
Formulate practical modes of collaboration among health
agencies and organizations
Competency D
Organize in-service training for teachers, volunteers, and other
interested personnel
V A.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VD.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
19
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal VI:
Acting as a resource person in health promotion
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL VI
Competency A:
Utilize computerized health information retrieval system
effectively
Competency B
Establish effective consultative relationships with those
requesting assistance in solving health-related problems.
Competency C
Interpret and respond to requests for health information
Competency D
Select effective educational resource materials for
dissemination
VIA.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VIB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VIC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VID.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
20
WS1: WORK SHEET FOR GOALS AND OBJECTIVES
Goal VII:
Communicating Health and Health Promotion needs, concerns, and resources
OBJECTIVES
Devise at least one objective for each competency area that address
GOAL VII
Competency A:
Interpret concepts, purposes, and theories of health education
Competency B
Predict the impact of societal value systems on health education
programs.
Competency C
Select a variety of communication methods and techniques in
providing health information
Competency D
Foster communication between health care providers and
consumers
VII A.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VIIB.
__ Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VIIC.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
VIID.
__Specific
__ Measurable
__ Appropriate
__ Realistic
__ Time Specific
21
WS2 ACTION PLAN: Sample
Goal I:
Assessing Individual and Community Needs for Health Education
OBJECTIVES
1 A. At the end of the second
week of my internship I will ….
1B.
1C.
TASKS
STATUS
22
WS2 ACTION PLAN
Goal I:
Assessing Individual and Community Needs for Health Education
OBJECTIVES
1 A.
1B.
1C.
TASKS
STATUS
23
WS2 ACTION PLAN
Goal II:
Planning Effective Health Promotion Programs
OBJECTIVES
II A.
IIB.
IIC.
TASKS
STATUS
24
WS2 ACTION PLAN
Goal III:
Implementing Health Promotion Programs
OBJECTIVES
III A.
IIIB.
IIIC.
IIID.
TASKS
STATUS
25
WS2 ACTION PLAN
Goal IV:
Evaluating Effectiveness of Health Promotion Programs
OBJECTIVES
IVA.
IVB.
IVC.
IVD.
TASKS
STATUS
26
WS2 ACTION PLAN
Goal V:
Coordinating provision of Health Promotion Services
OBJECTIVES
V A.
VB.
VC.
VD.
TASKS
STATUS
27
WS2 ACTION PLAN
Goal VI:
Acting as a resource person in health promotion
OBJECTIVES
VIA.
VIB.
VIC.
VID.
TASKS
STATUS
28
WS2 ACTION PLAN
Goal VII:
Communicating Health and Health Promotion needs, concerns, and resources
OBJECTIVES
VII A.
VIIB.
VIIC.
VIID.
TASKS
STATUS
29
GUIDELINES FOR COMPLETING YOUR DAILY LOG
Intern: ____________________________
Site:
____________________________
Date: ___________________ Day of Week: _____________________
Time:
Location
Description of Activity
Persons in contact
Work schedule for next week (include this on the last day of the week)
30
GUIDELINES FOR SUMMARIES
Intern:
Site:
____________________________
____________________________
Week (indicate 1, 2 3.)
Date: eg November 1- November 5, 2007
Total number of Hours: ________________
Summary
Generally describe what kind of activities you have completed. What you need to
do here is to reflect by thinking and feeling what your week has been like.
Thoughts:
Think about how your week’s experience has helped or not helped you meet your
goals and objectives. What have you observed in this week’s experience? What
have you learned? What is the best experience you had this week? What is the
worse? Explain
Feelings:
How do you feel about this week’s experience? Explain why you feel this way. (If
you feel challenged, sad, angry, frustrated, excited etc… explain)
Commitment to Improvement
What have you observed, experienced and learned this week that will help you be a
better professional? Based on what you have learned this week, what would you
change to make next week better than this week?
Thoughts and feelings need not always be positive, they only need to be yours and
be honest.
This document should not be less than a page and should not exceed two pages long. Try to
be succinct.
31
GUIDELINES FOR YOUR INTERNSHIP PROJECT
The Internship Project is a special assignment for the student intern and must be
completed during the semester. The project must meet the following criteria:
1) That it aligned with the mission of the site.
2) That it be an additional opportunity for learning and growth for the Intern
3) That it meets at least two of the internship goals
The site supervisor will specifically evaluate the Internship Project separately
from the overall evaluation of the intern. There can be a great variety of
Internship projects. The type of Site or program that you are involved in will
determine the project you will develop. Site supervisor should be aware of your
project plan.
There should be evidence of the following in your final project report:







Knowledge and application of the program planning process
Value of project to site/program
Demonstrated research for project
Demonstrated ability to work with others
Demonstrated ability for independent work
Demonstrated opportunities for personal growth and learning
Quality of typed report: writing, content, presentation
The following are some suggested types of projects:












Public Relations brochure
Public Relations slide presentation
Development of video tape training film for special populations
(e.g., health educators, family members, clients, city council
members)
Manual for volunteers
Grant application
Health survey of special populations (e.g., elderly, homeless,
children)
Client satisfaction surveys
Design, implementation of innovative health programs
Program evaluation - process, outcome
Adaptation of programs (facilities, equipment, policy) for persons
with special needs
Development of quality assurance programs
Evaluation of administrative structure
32
Project Report
Summarize your internship project.
Outline the program planning, implementation and evaluation stages of your project.
Include relevant feedback to support your response.
Relate your project to your goals and objectives
33
GUIDELINES FOR INTERNSHIP PROJECT PLAN
Submitted to both Internship site supervisor and university supervisor
Use this page as the first page of the Project Outline
I.
II.
III.
IV.
V.
Title of Project
Description of Project
Value of Project to Site
Meeting Internship Goals (identify which ones)
Methodology or proposal of how to accomplish each task associated
with the project
VI. Project Schedule - dateline - beginning to end
VII. Product of project (evidence in the form of manual, photographs of
Health Fair activities, videos, such as Report, Booklet, Brochure, etc.)
Intern: _________________________________________
_____
Site: _____________________________________________________
Approved by:
Site Supervisor*: ________________________
_____ Date: __________
Internship Supervisor: ___________________________ Date: __________
*May be submitted to university supervisor without signature of internship site supervisor. To be included
in portfolio at end of the semester, have site supervisor’s signature if at all possible.
34
GUIDELINES FOR FINAL ON-CAMPUS PRESENTATION
1. You have 10 minutes to present and all the presenters will answer questions as
a panel after the presentations. You should have visuals aids (PowerPoint slides,
Transparencies, videos, posters etc) to enhance your presentation.
2. Content of your presentation:
a. Your goals for the internship
b. Your site (tell us a little about the site, e.g. mission, whom it serves, and
who works there etc.)
c. Tell us how you have achieved your goals
d. Highlight your project
e. Indicate three challenges in your internship experience that you have
encountered and list one solution you have created to solve the problem
f. Tell 3 things you have learned in this experience that will help you with
your career
g. If you can change one thing about this experience what will that be?
3. Delivery of your presentation:
a. Please note that you have 10 minutes, so be concise.
b. You are also expected to be on time, dressed in professional attire and be
ready when called to present.
c. Maintain eye contact with the audience.
d. Do not use junk-words such as um, like, aah
e. Maintain good posture
f. Refrain from using slang or unprofessional language
Note that this is your chance to show off that you are on your way to be a professional
health educator. Your audience is looking to you as role models.
35
GUIDELINES FOR COMPLETING YOUR FINAL SUMMARY
1. Summarize your entire internship experience following the reflection process in
your weekly summaries
2. Evaluate the extent to which your goals are achieved (you do this by completing
the action plan. Check to see which objectives are met, or not met and explain
why. If you have changed any tasks to meet your objectives, please document).
3. Identify three strengths you brought to this experience that have helped you
succeed.
4. Identify 3 shortcomings you discovered in this experience and indicate how you
have grown form this experience.
5. How has this internship influenced your career interests for the near future?
6. What is the best part of this experience?
7. What is the worst part of this experience?
8. If you had a chance to do it all over, what is one thing you would change?
9. How would you rate this position as an internship site? What are your reasons?
What recommendations would you make to improve this site for future interns?
Be specific.
10. What is one thing you wished your internship supervisor would have done to
help you more?
36
CHECKLIST FOR INTERNSHIP APPLICATION
Make sure you have all the items completed in a timely manner to facilitate securing internship in
the semester following. When you have approval to be an intern you may register for HLTH 4850
for the semester of your internship.
Deadlines
Status
Internship Application Package
1. Attend pre-internship
information meeting
2.
Receive internship manual
3. Complete and return by email
intern personal data
4. Choose Internship Site
5. Internship Site Data Sheet
6. Updated degree plan
7. Biography with Photo
8. Resume
9. Coordinate interview, go on
interview and let university
supervisor know of placement,
write thank you note to site
personnel who interviewed you
10. Attend pre-internship meeting
and begin internship
Student: ___________________________________
Ready for internship: ___________________________________ (semester)
Internship Coordinator: _________________________________
Schedule interview with Site supervisor: ___________________
Accepted by site supervisor: _____________________________
(Name and date)
37
CHECKLIST FOR INTERNSHIP ASSIGMENTS
Make sure you meet deadlines. Delaying one assignment will snowball into
delaying your graduation
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
24
25
26
INTERNSHIP ASSIGMENTS
Start 3 Ring Note-Book for folio
DEADLINES
Action Plan
(Goals and Objectives)
Schedule mid-term Site visit
Schedule final site visit
Sample of daily logs (1-2)
Summaries
File Project Plan with Internship
Supervisor
Make sure site supervisor files
evaluations with Internship supervisor
Project Report (includes any products
you have helped developed; if product
is too large, include photographs and
any relevant evidence, evaluations,
etc.)
Final Intern Report
Final Presentation (include your
PowerPoint Slides hard copy and disk)
Any other evidence that you may have
to justify that you had a valid and
successful experience with the site.
Complete Internship folio (3 ring
notebook)
27
Write thank-you letter to site supervisor
23
STATUS
38
INTERN DATA FORM
Directions
Interns MUST file this with internship supervisor prior to beginning internship experience. File this form in
hard copy with internship supervisor and electronically to: Ms Naomi Wilson, e-Mail:
Naomi.Wilson@unt.edu
If you fax hard copy make sure you have an original in the mail for your internship supervisors with all the
signatures.
Fax: 940-565-4904
Intern name: _______________________________________________________________
Phone numbers where you can be reached during your internship:
__________________________________________________________________________
__________________________________________________________________________
E-Mail Address _____________________________________________________________
Home Address:
__________________________________________________________________________
__________________________________________________________________________
Submit Clear Directions to Site from UNT [ ]
Internship Site: _____________________________________________________________
Site Supervisor: _____________________________________________________________
Title of Supervisor: __________________________________________________________
Site Address: ______________________________________________________________
_________________________________________________________________________
Phone Number to contact Site Supervisor: _______________________________________
Fax Number of Site: ________________________________________________________
Site Supervisor’s E Mail Address: ______________________________________________
Start Date of Internship: ______________________________________________________
End Date of Internship: ______________________________________________________
Number of Hours Required for Internship: __________hours
Signatures of Internship Program Partners:
_____________________________________________
Intern
_____________________
Date
______________________________________________
Site Supervisor
_____________________
Date
______________________________________________
Internship Supervisor
_____________________
Date
______________________________________________
Program Coordinator
_____________________
Date
39
HLTH 4850 GRADE REPORT FORM
ACTIVITY
Maximum
Your Score
Comments
Quality of summaries
100points
_________
__________
Overall professional communication and cooperation (attendance at meetings, following
procedures and other professional responsibilities)
100 points
_______
__________
Quality of on-campus
Seminar and Presentation
100 points
_________
__________
Quality of mid-term evaluation
By Faculty Supervisor
100 points
_________
__________
Quality of mid-term evaluation
By Site Supervisor
100 points
_________
__________
Quality of terminal evaluation
By Faculty Supervisor
100 points
_________
__________
Quality of terminal evaluation
By Site Supervisor
100 points
_________
__________
Quality of Internship Project
100 points
_________
__________
Quality of Student Internship
Final Summary
100 points
_________
___________
Quality of Internship
Folio (Note-book)
100 points
_________
___________
TOTAL POINTS
1000 points
_________
Percentage (your score/1000 x 100) = _________
GRADING SCALE
A = 90-100
B = 80-89
C = 70-79
D = 60-69
F = 59 and below
COMMENTS
GRADE: ____________________________________
40
HLTH 4850
ON-CAMPUS PRESENTATION EVALUATION
Name: _____________________________
Topic: _______________________________
Maximum points per criterion = 20
Introduction and Organization of Presentation
0
5
10
15
20
Comments: ___________________________________________________________________________
Relevance of subject matter to Health Promotion
0
5
10
15
20
Comments: ___________________________________________________________________________
Quality of Visual Aids (e.g., PowerPoint, overheads, handouts, collage)
0
5
10
15
20
Comments: ___________________________________________________________________________
Ability to Stimulate Interest/Generate Questions
0
5
10
15
20
Comments: ___________________________________________________________________________
Professional Appearance and Demeanor
0
5
10
15
20
Comments: ___________________________________________________________________________
OVERALL SCORE
0
5
10
15
20
Comments: ___________________________________________________________________________
TOTAL POINTS __________/100
41
MIDTERM INTERNSHIP EVALUATION FOR ________________________________
TO SITE SUPERVISOR:
As the student intern completes the internship at your site, we would appreciate
receiving a written evaluation on your assessment of the student’s experience. Your
evaluation will help us grade the intern’s performance. When completing this
evaluation, please include both commendations and constructive criticism; consider
both the intern’s progress in knowledge and skills during the internship, as well as the
intern’s contribution to your site. Include examples to illustrate your assessments.
Please comment about the following in a narrative:
 How did the intern fit into the site’s structure?
 What was the intern’s attitude toward tasks and projects assigned?
 How did the intern respond to criticisms and feedback?
 How did the intern operate as a member of the work team?
 What is your evaluation of the intern’s oral and written skills?
 What is your evaluation of the intern’s interpersonal skills?
 What aspects of the intern’s profile have improved during the internship?
 What new skills and competencies has the intern acquired during the internship?
 What areas can be improved in the future?
Please rate the student in the following competencies using the 4 point scale.
If you were unable to observe a competency, please check the na box.
1= not competent to 4 = very competent
Expected Outcome # 1 - Graduates will be able to implement Health Education
Programs.
Competency A. Initiate a plan of action
Criteria………………………………………………………………………
Use community organization principles to facilitate change conducive
to health
Pretest learners to determine baseline data relative to proposed
program obj.
Deliver educational technology effectively
Facilitate groups
1 2 3 4 na
Sub-Competency B – Demonstrate a variety of skills in delivering strategies,
interventions, and programs
Criteria ……………………………………………
1 2 3 4 na
Use instructional technology effectively
Apply implementation strategies
42
Sub-Competency C – Use a variety of methods to implement strategies, interventions,
and programs
Criteria
1 2 3 4 na
Use the Code of Ethics in professional practice
Apply theoretical and conceptual models from health education and
related disciplines to improve program delivery
Demonstrate skills needed to develop capacity for improving health
status
Incorporate demographically and culturally sensitive techniques when
promoting programs
Implement intervention strategies to facilitate health-related change
Expected Outcome # 2 - Graduates will be able to assess the individual and community
needs for health education.
Competency A. Access existing health-related data
Criteria………………………………………………………………………
1 2 3 4 na
…………
Identify diverse health-related databases
Use computerized sources of health-related information
Determine the compatibility of data from different data sources
Select valid sources of information about health needs and interests
Competency B. Collect health-related data
Criteria………………………………………………………………………
……
Use appropriate data-gathering instruments
Apply survey techniques to acquire health data
Conduct health-related needs assessments
Implement appropriate measures to assess capacity for improving
health status
1 2 3 4 na
Competency C.
Distinguish between behaviors that foster and hinder well-being
Criteria………………………………………………………………………
1 2 3 4 na
…………
Identify diverse factors that influence health behaviors
Identify behaviors that tend to promote or comprise health
Competency D. Determine factors that influence (advanced level not evaluated)
Competency E. Identify factors that foster or hinder the process of health education
Criteria………………………………………………………………………
1 2 3 4 na
………
Determine the extent of available health education services
Identify gaps and overlaps in the provision of collaborative health
services
43
Competency F. Infer needs for health education from obtained data
Criteria……………………………………………………………………
Analyze needs assessment data
1 2 3 4 na
Please recommend a grade for the intern by checking the appropriate box below.
Grade
Intern
A B C D F
Comments:
Site: ________________________________________________________
Site Supervisor: _______________________________________________
Date: _____/_____/______
Please forward this evaluation to:
Patricia Collins-Shotland
Health Promotion Internship Coordinator,
Department of Kinesiology, Health Promotion and Recreation
University of North Texas
1155 Union Circle #310769
Denton, Texas 76203-5017
Or Fax: 940.565.4904
44
FINAL INTERNSHIP EVALUATION FOR ________________________________
TO SITE SUPERVISOR:
As the student intern completes the internship at your site, we would appreciate
receiving a written evaluation on your assessment of the student’s experience. Your
evaluation will help us grade the intern’s performance. When completing this
evaluation, please include both commendations and constructive criticism; consider
both the intern’s progress in knowledge and skills during the internship, as well as the
intern’s contribution to your site. Include examples to illustrate your assessments.
Please comment about the following in a narrative:
 How did the intern fit into the site’s structure?
 What was the intern’s attitude toward tasks and projects assigned?
 How did the intern respond to criticisms and feedback?
 How did the intern operate as a member of the work team?
 What is your evaluation of the intern’s oral and written skills?
 What is your evaluation of the intern’s interpersonal skills?
 What aspects of the intern’s profile have improved during the internship?
 What new skills and competencies has the intern acquired during the internship?
 What areas can be improved in the future?
Please rate the student in the following competencies using the 4 point scale.
If you were unable to observe a competency, please check the Na box.
1= not competent to 4 = very competent
Expected Outcome # 1 - Graduates will be able to implement Health Education
Programs.
Competency A. Initiate a plan of action
Criteria………………………………………………………………………
Use community organization principles to facilitate change conducive
to health
Pretest learners to determine baseline data relative to proposed
program obj.
Deliver educational technology effectively
Facilitate groups
1 2 3 4 na
Sub-Competency B – Demonstrate a variety of skills in delivering strategies,
interventions, and programs
Criteria ……………………………………………
1 2 3 4 na
Use instructional technology effectively
Apply implementation strategies
45
Sub-Competency C – Use a variety of methods to implement strategies, interventions,
and programs
Criteria
1 2 3 4 na
Use the Code of Ethics in professional practice
Apply theoretical and conceptual models from health education and
related disciplines to improve program delivery
Demonstrate skills needed to develop capacity for improving health
status
Incorporate demographically and culturally sensitive techniques when
promoting programs
Implement intervention strategies to facilitate health-related change
Expected Outcome # 2 - Graduates will be able to assess the individual and community
needs for health education.
Competency A. Access existing health-related data
Criteria………………………………………………………………………
1 2 3 4 na
…………
Identify diverse health-related databases
Use computerized sources of health-related information
Determine the compatibility of data from different data sources
Select valid sources of information about health needs and interests
Competency B. Collect health-related data
Criteria………………………………………………………………………
……
Use appropriate data-gathering instruments
Apply survey techniques to acquire health data
Conduct health-related needs assessments
Implement appropriate measures to assess capacity for improving
health status
1 2 3 4 na
Competency C.
Distinguish between behaviors that foster and hinder well-being
Criteria………………………………………………………………………
1 2 3 4 na
…………
Identify diverse factors that influence health behaviors
Identify behaviors that tend to promote or comprise health
Competency D. Determine factors that influence (advanced level not evaluated)
Competency E. Identify factors that foster or hinder the process of health education
Criteria………………………………………………………………………
1 2 3 4 na
………
Determine the extent of available health education services
Identify gaps and overlaps in the provision of collaborative health
services
46
Competency F. Infer needs for health education from obtained data
Criteria……………………………………………………………………
Analyze needs assessment data
1 2 3 4 na
Please recommend a grade for the intern by checking the appropriate box below.
Grade
Intern
A B C D F
Comments:
Site: ________________________________________________________
Site Supervisor: _______________________________________________
Date: _____/_____/______
Please forward this evaluation to:
Patricia Collins-Shotland
Health Promotion Internship Coordinator,
Department of Kinesiology, Health Promotion and Recreation
University of North Texas
1155 Union Circle #310769
Denton, Texas 76203-5017
Or Fax: 940.565.4904
47
Appendices
The following samples on resume writing, how to prepare your biography.
48
YOUR NAME
Address Line 1
Address Line 2
City, State/Province Postal Code
Phone: (000) 555-2468
Email: someone@microsoft.com
OBJECTIVE: Your own entry goes here.
QUALIFICATIONS
Using action words to maximize the impact, describe how your
background and strengths would make you a strong candidate for
the position you are seeking. This section should be concise, contain
action words, and should sell your most marketable experiences and
abilities.
EDUCATION
19xx – 19xx Degree obtained, school name
19xx – 19xx Degree obtained, school name
EMPLOYMENT
20xx - 20xx Position, Name of Company
In the same manner as above, describe your current job
Responsibilities. Be Concise; remove all unnecessary
words and phrases. Include the specific results of your
actions or decisions to demonstrate your contribution.
19xx -19xx
Position, Name of Company
In the same manner as above, describe your next job
19xx – 19xx Position, Name of Company
In the same manner as above, describe your next job
19xx -19xx
Position, Name of Company
In the same manner as above, describe your next job
49
Insert your recent photograph
BRIEF BIOGRAPHY: YOUR NAME
(Not necessary to include address here)
Write in the third person
Write a brief narrative about:
 Who this person (you are) is?
 What this person (you have) has achieved so far
 What this person (you have) hopes to be.
Write your personal mission statement in here if you have one. Describe any outside of
school activities you have engaged in that will help you be the professional of choice
(volunteer). Have you been recognized for any special achievements?
This should be limited to one page. Please use a photo image that communicates a
professional outlook.