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Field-Based Internship Planning Worksheet

Name:__Kim Kleinhans_____________ Cohort: 2011 UEN -

ISSL #1 Visionary Leadership Standa rd Visionary Leadership/Experience Area (Condensed Criteria) E.C. /Elem/Sec/Sp Ed (Indicate Grade Level) Approximate Hours Elementary 1.25 Early Childhood .75 Early Childhood 2.5 Early Childhood 3.75 Elementary 18 DESCRIPTION Estimated Completion Date
October 2011

1a

Uses data for Establishment of Achievement Goals

Literacy Cadre Professional Leaning and planning for staff professional leaning SINA Wrote a grant for purchase of new books, ordered books, sorted and distributed books to classrooms Building Leadership Team Meeting

10/13/11 January 2012 Periodically throughout 2011-2012 school year November 2012

1b

Uses best practice in Program Improvement Articulates/Promotes High Expectations for Teaching/Learning

Special Ed 1.25 Elementary .75 Special Ed .25

Development of Common Core Cross Grade Documents to guide instruction Literacy Cadre SINA Parent led conferences

October 2011

10/13/11 09/01/11

1c

1d

Aligns educational programs w/ District Vision and Goals Provides Leadership for Major Initiatives and Change Efforts

Special Ed 1.25 Special Ed .75 Elementary 12

Literacy Cadre SINA Building Leadership Team

October 2011

10/13/11 Periodically throughout 2011-2012 school year 10/20-21/11

1e

1f

Communicates effectively with various stakeholders on progress

Special Ed .5

Parent Teacher Conferences

ISSL #2 Instructional Leadership


Standard 2 2a Instructional Leadership (Condensed Criteria) E.C. /Elem/Sec/Sp Ed (Indicate Grade Level) Approximate Hours DESCRIPTION Estimated Completion Date

Provides leadership for Assessing/Developing/Improving Climate and Culture Systematically/Fairly Recognizing/Celebrating Staff/Student Accomplishment Encourages design of more effective learning experiences for students

Special Education 1

Created and put together Survival Kits for staff stress relief Teaching goal setting and displaying goals publicly in the classroom Literacy Cadre SINA Created social stories for transition to new school Building Leadership Team

October 2011

2b

Special Education 3

School Year 2013/13 October 2011 10/13/11 December 2011 Periodically 2

2c

Early Childhood 1.25 Early Childhood .75 Special Ed 1 Elementary 12

throughout 2011-2012 school year


2d

Monitors/Evaluates Effective Curriculum/Instruction/Assessment

Elementary 1

Used EdInsight web site to create reports to be used in action plans for students Observation of Extended School Year for Special Needs Students Peer Coaching

December 2011

Secondary 5
2e

June 2012 Periodically During the 2012/13 school year October 2011 10/13/11 Periodically throughout 2011-2012 school year October 2012 Summer through 20122013 school year 09/01/11 10/13/11

Evaluates Staff and Provides ongoing coaching for improvement

Elementary 2

2f

Ensures professional development that enhances teaching/learning

Early Childhood 1.25 Elementary .75 Elementary 12

Literacy Cadre SINA Building Leadership Team

2g

2h

Uses research/theory to develop/revise professional growth plan Promotes collaboration with all stakeholders

Elementary 2 Secondary 12

Development of Iowa Professional Development Plan Mentoring Bootcamp and site coordinator for practicum students Parent led conferences Assist new teacher with IEP/accommodations for student

2i

Accessible and approachable to all stakeholders

Special Ed .25 Special Ed .5

Secondary 13

Attend athletic events, assist with Cub Scouts raising the flag, network with administrators, and socialize with parents Parent led conferences Parent Teacher Conferences Assist new teacher with IEP/accommodations for student Attend athletic events, assist with Cub Scouts raising the flag, network with administrators, and socialize with parents Created and put together Survival Kits for staff stress relief

School Years 2011/122012/13 09/01/11 10/20-21/12 10/13/11 School Years 2011/122012/13 October 2011

2j

Visible and engaged in the community

Special Ed .25 Special Ed .25 Special Ed .25 Secondary 13

2k

Articulates and reinforces desired school culture, showing evidence

Early Childhood 1

ISSL #3 Organizational Leadership Standa rd 3 Organizational Leadership (Condensed Criteria) E.C. /Elem/Sec/Sp Ed (Indicate Grade Level) Approximate Hours Special Ed .75 Special Ed .5 Special Ed .25 DESCRIPTION Estimated Completion Date 10/13/11 09/08/11 10/13/11

3a

Complies with state and federal mandates and local board policies

SINA IEP Assist new teacher with IEP/accommodations for student

Elementary 12

Building Leadership Team Meetings

Periodically throughout 2011-2012 school year May 2012 10/13/11 January 2012

3b 3c 3d

Recruitment, selection, induction, and retention of staff for quality instruction Addresses current and potential issues in a timely manner Effectively/efficiently manages fiscal and physical resources

Elementary 2 Special Ed .25 Elementary 2.5

Interviews for prospective teachers Assist new teacher with IEP/accommodations for student Wrote a grant for purchase of new books, ordered books, sorted and distributed books to classrooms

3e 3f

Protects instructional time Uses effective communication w/internal and external audiences about school operations Secondary 12 Prepared for and presented at IEREA conference 11/30/12

Standar d4

4a

ISSL #4 Collaborative Leadership Collaborative Leadership E.C. /Elem/Sec/Sp DESCRIPTION (Condensed Criteria) Ed (Indicate Grade Level) Approximate Hours Engages families and community, and Special Ed .25 Parent led conferences promotes shared responsibility for Special Ed .75 IEP student learning and education Secondary 1 Parent Conference regarding behavior and grades of senior student Parent led conferences Parent Teacher Conferences

Estimated Completion Date 09/01/11 09/08/11 November 2012 09/01/11 10/20-21/12 5

4b

Promotes/supports structure for family/community involvement

Special Ed .25 Special Ed .5

4c

4d

Facilitates connections of students/families to health/social services that support a focus on learning Collaboratively establishes a culture that welcomes and honors families and community and seeks ways to engage them in student learning

Elementary .5

Connected unemployed parents with free clinic, hawk-I insurance and Peoples clinic Parent led conferences Parent Teacher Conferences

10/20/12

Special Ed .25 Special Ed .5

09/01/11 10/20-21/12

ISSL #5 Ethical Leadership Standar d5 Ethical Leadership (Condensed Criteria) E.C. /Elem/Sec/Sp Ed (Indicate Grade Level) Approximate Hours Special Ed .5 Early Childhood 1 Elementary 1 Special Ed .25
5d

DESCRIPTION

Estimated Completion Date 09/08/12 10/13/11 October 2011 10/13/11

5a 5b

5c

Demonstrates ethical and professional behavior Demonstrates values, beliefs, and attitudes that will inspire others to higher levels of performance Fosters and maintains caring, professional relationships with staff

IEP SINA Created and put together Survival Kits for staff stress relief Assist new teacher with IEP/accommodations for student

Demonstrates appreciation for and sensitivity to diversity in the school community Demonstrates respect for divergent opinions Elementary .75 Mediation meeting between staff members to resolve conflict March 2012

5e

ISSL #6 Political Leadership Standa rd 6 Political Leadership (Condensed Criteria) E.C. /Elem/Sec/Sp Ed (Indicate Grade DESCRIPTION Estimated Completion Date 6

Level) Approximate Hours


6a

Collaborates with service providers/decision-makers to improve teaching and learning Advocates for the welfare of all members of the learning community

Elementary 1 Special Ed .25 Special Ed .5 Special Ed .25 Early childhood 1.25 Special Ed 1

SINA Assist new teacher with IEP/accommodations for student IEP Assist new teacher with IEP/accommodations for student Literacy Cadre SINA

10/13/11 10/13/11 09/08/12 10/13/11


October 2011

6b

6c

Designs and implements appropriate strategies to reach desired goals

10/13/11

Program-Required Internship Experiences Program-Required Experience Full-Day Principal Shadowing Location (school, agency, business, & contact people) Janesville High School Jen Pooke Non-profit/Social Service Experience Business Internship Experience Mad Hatter Brake and Muffler John Lappe Brake and Muffler Shop in Cedar Falls, Iowa Description Estimated Completion Date March 2012

Spent a full day shadowing Jen Pooke at Janesville High School

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