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Interim report form for the internship

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This module is authored by David Parks from Virginia Tech and edited by Theodore Creighton, Laura Farmer, and Corrine Sackett.
This module has been peer-reviewed, accepted, and sanctioned by the National Council of Professors of Educational Administration (NCPEA) as a scholarly contribution to the knowledge base in education administration. In addition to publication in the Connexions Content Commons, this module is part of a larger published Collection entitled Guidelines for Interns, Mentors, and Home School Principals, 2009-2011, and is also published in the International Journal of Educational Leadership Preparation.

Interim report form for the internship

Name: Date:
Mentor(s):

Please copy and complete this form. Place it after the list of objectives in your log.

  • Record the number of clock hours spent on your internship up to the date this form was completed. Do not estimate. Take exact numbers from your log.
Site School name
Cumulative clock hours Primary internship site Home school Other school level 1 Other school level 2 Central office Career and technical (vocational) Schools in diverse settings Agency that works with children or families Other site(s) (List each.) Total clock hours XXXXXXXXXXX
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Source:  OpenStax, Guidelines for interns, mentors, and home school principals, 2009-2011. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10609/1.3
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