Field-Based Internship Planning

Worksheet
Name:__Kelsey Kempf

______ Cohort: 2013 UEN A

Due: November 15 of 1st Semester in Program & as changes

are made.

ISSL #1 Visionary Leadership

Standar
d
1a

1b

Visionary Leadership/Experience Area

(Condensed Criteria)
Uses data for Establishment of
Achievement Goals

Uses best practice in Program

Improvement

E.C. /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
Sec 4

DESCRIPTION

Estimated
Completion Date

Principal/Sup Interview

Oct 2013

Elem 2

First Grade Data Team (Kirkwood)

Oct 2014

Special Ed 2

Math PLC Team (Excelsior)

Spring 2014

Sec - 2

Curriculum Review/Textbook
Selection (Iowa City)

Fall 2014

EC -1

October EC Prof Development

Oct 2013

Sec 3

Leading PD on Mathematical
Practices

Dec 10, 2013

Sec - 1

March 2014

Lead TQSA Session on Mimio

(Excelsior)
1c

Articulates/Promotes High Expectations for

Teaching/Learning

Sec 4
Sec - 3

Leading Math PD on Mathematical

Practices (Linn-Mar district wide)

Dec 2013
Year Long 14-15

MTSS Team (Northwest)

1d

Aligns educational programs w/ District

Vision and Goals

Sec 4

PLC Conference 2013

June 2013

Sec 4

Summer Mathematics Work (EX)

June 2013

Sec - 2

Curriculum Review/Textbook

Fall 2014

Selection
1e

Provides Leadership for Major Initiatives

and Change Efforts

Sec 4

PLC Conference 2013

June 2013

Sec 2

PBIS Presentation @ Staff Meeting

(NW)

November 2014

Sec 2
Elem 6

Elem - 5

Lead TQSA Session (EX)

Teacher Leadership Program
implementation/position with LinnMar

March 2014
April 2014

Spring 2015

Assisting with Teacher Leadership

development in Iowa City
1f

Communicates effectively with various

stakeholders on progress

Sec 3

Department of Education and School

Board Visits at Linn-Mar

Spring 2014
Ongoing

IEP Meetings

Sec 6

ISSL #2 Instructional Leadership

Standard
2

Instructional Leadership
(Condensed Criteria)

2a

Provides leadership for

Assessing/Developing/Improving Climate
and Culture

2b

2c

Systematically/Fairly
Recognizing/Celebrating Staff/Student
Accomplishment
Encourages design of more effective
learning experiences for students

E.C. /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
Sec -15
Sec - 3

DESCRIPTION
PLC Leadership Team 2013-2014
(Excelsior)

Estimated
Completion
Date
Monthly 13-14
Year Long 14-15

PBIS Committee
Sec 2

Staff recognition board (EX)

Spring 2014

Sec - 3

PBIS Committee (Northwest)

Year Long 14-15

EC -4

EC Prof Development (Linn-Mar)

Oct 2013

Leading PD on CCSS Mathematical

2d

Monitors/Evaluates Effective
Curriculum/Instruction/Assessment

Sec 3

Practices

Dec 10, 2013

Elem - 4

RTI Math Workshop 2014

June 2014

Sec 4

Summer Mathematics Work (EX)

June 2013

Elem 4

Summer School in Hispanic

Community

July 2013

Elem 8
Sec - 3

Iowa Testing Programs Review Panel

Summer 2014
January 2014

Developing Essential Learnings (NW)

2e

Evaluates Staff and Provides ongoing

coaching for improvement

Sec 5
Special Ed 3
Elem - 2

Mock walk-throughs and observations

at Northwest and Excelsior
Observation of Practical Classes at
Northwest

Fall 2014
October 2014
July 2013

Observation/feedback of teacher in
summer school in Hispanic
community
2f

Ensures professional development that

enhances teaching/learning

Sec 4

Teach TQSA Technology Session

Winter 2013

Sec 5

Leading PD on CCSS Mathematical

Practices

Dec 10, 2013

Elem 3

Feb 18, 2014

Microsoft 365 Administrative Training

2g

2h

2i

Uses research/theory to develop/revise

professional growth plan

Elem 8

PLC Conference 2013

June 2013

Sec - 8

RTI in Mathematics Workshop 2014

June 2014

Promotes collaboration with all

stakeholders

Sec 4

PLC Conference 2013

June 2013

Elem 4

Stakeholder Interviews

Oct 2013

Special Ed 6

IEP Meetings

Ongoing

Elem - 3

Iowa Testing Programs Panel for Iowa

Assessments

Summer 2014

Elem 3

Kindergarten Registration (Coralville

Central)

Feb 2015

Accessible and approachable to all

stakeholders

Sec 5
Sec - 3

Supervising Athletic Games

(Northwest)

Fall 2014
March 2014

Substitute as Principal (Excelsior)

2j

Visible and engaged in the community

Sec 3
Elem 2
Special Ed - 4

Supervising Athletic Games

(Northwest)
Iowa Testing Programs Panel

Ongoing
Summer 2014
Year Long 14-15

Special Education
Committee/Transition Services Team
(ICCSD)
2k

Articulates and reinforces desired school

culture, showing evidence

Sec -3
Sec - 3

Leading team, grade level, PLC

meetings

Ongoing
November 2014

PBIS Committee, Hosting Morning

show (Northwest)

ISSL #3 Organizational Leadership

Standar
d3
3a

Organizational Leadership
(Condensed Criteria)
Complies with state and federal mandates
and local board policies

E.C. /Elem/Sec/Sp
Ed
(Indicate Grade Level)
Approximate Hours
Sec 1
Sec 2
Sec - 2

DESCRIPTION

Estimated
Completion Date

Leading Math PD on Common Core

Dec 2013

Department of Education
Accreditation Site Visit (Linn-Mar)

April 2014
Spring 2014

Linn-Mar School Board Visit Speaker

(Excelsior)
3b

Recruitment, selection, induction, and

retention of staff for quality instruction

Sec 2

Recommendations for Teacher

Leader Positions (Linn-Mar)

March 2014

Elem - 1
3c

Addresses current and potential issues in a

timely manner

Sec 8

Interview Coralville Central Principal

about hiring practices
ALICE Training (Linn-Mar)

Spring 2014

Elem 8

ALICE Training (Iowa City)

Feb 2015

Sec - 4

Serving as substitute principal

(Excelsior)
Teacher Quality Budget Committee
(Excelsior)

May 2014

3d

Effectively/efficiently manages fiscal and

physical resources

Sec 6

3e

Protects instructional time

Sec 4
Elem 2

MTSS Team designing intervention

blocks (Northwest)

Feb 2015

Year Long 14-15

Year Long 14-15
June 2014

PLC Conference on RTI 2014

3f

Uses effective communication w/internal and

external audiences about school operations

Sec 2

Linn-Mar School Board Visit

Feb 2014

Sec - 1

Meet with Superintendent

(Northwest)

Jan 2015

Standard
4

4a

4b

4c

Collaborative Leadership
(Condensed Criteria)

Engages families and community, and

promotes shared responsibility for student
learning and education

ISSL #4 Collaborative Leadership

E.C. /Elem/Sec/Sp
DESCRIPTION
Ed
(Indicate Grade
Level)
Approximate Hours
EC 1
EC Special Needs Parent Meet

Promotes/supports structure for

family/community involvement

Facilitates connections of students/families

to health/social services that support a
focus on learning

Estimated
Completion
Date
Oct 2013

Sec 5

Admin/Parent Meetings

Ongoing

Special Ed - 15

IEP Meetings (Northwest)

Ongoing

Special Ed 10

Parent Meetings (IEP, 504s, etc.)

Ongoing

Sec - 5

Supervising Athletic Events

(Northwest)

2014-2015

Sec 2

Discussion with parents, connected

with counselor & services

Oct 2014

Early Childhood 3

Jan 2015

Preschool ELL Professional

Development
Early Childhood 1
Sec - 8

Kindergarten Registration ELL

Evaluations (Coralville Central)

Feb 2015
2014-2015

Consultations with Psychologist and

At-Risk Liasion (Northwest)
4d

Collaboratively establishes a culture that

welcomes and honors families and
community and seeks ways to engage them
in student learning

Sec 5

Admin/Parent Meetings

Ongoing

Special Education - 3

Special Education Exit Meetings

(NW)

2014-2015

ISSL #5 Ethical Leadership

Standard
5
5a

Ethical Leadership
(Condensed Criteria)
Demonstrates ethical and professional
behavior

E.C. /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
EC 8

DESCRIPTION
Attending monthly PD, discussing
sensitive student issues respectfully &
confidentially

Special Ed - 3

Special Education Advisory

Committee

Estimated
Completion
Date
Jan 8, 2014,
ongoing
2014-2015

5b

Demonstrates values, beliefs, and

attitudes that will inspire others to higher
levels of performance

Sec 8

PLC Leadership Team stewards of

the vision to content and grade level
teams

Ongoing

5c

Fosters and maintains caring,

professional relationships with staff

Sec 2

Staff recognition board (EX)

Spring 2014

Sec - 2

Informal observations/feedback (NW)

Jan 2015

Demonstrates appreciation for and

sensitivity to diversity in the school
community

Sec 1

District Equity Committee (Linn-Mar)

Dec 2013

Special Education - 3

Special Education Advisory &

Transition Services Team

2014-2015

Sec 8

PLC Leadership Team discussions &

book study

Monthly

5d

5e

Demonstrates respect for divergent

opinions

ISSL #6 Political Leadership

Standar
d6
6a

Political Leadership
(Condensed Criteria)
Collaborates with service
providers/decision-makers to improve
teaching and learning

E.C. /Elem/Sec/Sp Ed
(Indicate Grade Level)
Approximate Hours
SEC -10
Special Ed 2
Elem -2
Sec - 2

DESCRIPTION

Estimated
Completion Date

PLC Leadership Team 2013-2014

(EX)

Monthly

Transitions Services Team

Iowa Testing Programs Panel

October 2014
Summer 2014
April 2014

Department of Education
Accreditation Visit (Linn-Mar)
6b

Advocates for the welfare of all members

of the learning community

Sp Ed 2, EC 2

Eligibility Meetings (EC Special Ed)

Elem 1

District Equity Committee (Linn-Mar)

Special Ed 2

Special Education Advisory

Committee

Special Ed - 4

Special Education Professional

Development (Iowa City)
6c

Designs and implements appropriate

strategies to reach desired goals

Sec - 5
Sec - 3

PLC Leadership Team 2013-2014

(EX)
Textbook Selection Team (Iowa City)

Dec 18, 2013,

ongoing
Dec 2013
2014-2015

2014-2015
Monthly
Fall 2014

Program-Required Internship Experiences

Program-Required Experience

Location (school, agency,

business, & contact people)

Description

Estimated Completion Date

Full-Day Principal Shadowing

Clear Creek Amana Middle

School

Full Day Shadow

Jan 3, 2014

Brad Fox (Principal)

Non-profit/Social Service
Experience

Johnson County Sheriff

Shadow in the jail, observe

themes among inmates

Summer 2014

Business Internship Experience

Scorpyd Crossbows

Work in shop, run errands, assist

with production

Summer 2014