Fillable Internship Application (Montana State University - Billings)

Fill Online, Printable, Fillable, Blank Internship Application (Montana State University - Billings) Form

Use Fill to complete blank online MONTANA STATE UNIVERSITY - BILLINGS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Internship Application (Montana State University - Billings)

On average this form takes 17 minutes to complete

The Internship Application (Montana State University - Billings) form is 4 pages long and contains:

  • 0 signatures
  • 38 check-boxes
  • 51 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Montana State University - Billings

BROWSE MONTANA STATE UNIVERSITY - BILLINGS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Revised March 2011
College of Education
Montana State University Billings
INTERNSHIP APPLICATION
REQUEST FOR GRADUATE FIELD EXPERIENCE
1. Program of Study ____________________________________________________________________
590 690 CREDITS _______
2. Date __________________________________ 3. ID # ____________________________
4. Name _________________________________________________ Phone ____________________
Local Address _________________________________________ City ___________________ State ____ Zip ________
Email Address ____________________________________@__________________
5. Attach a description of your internship and your objectives. See attached guidelines and evaluation forms.
6. Semester requested (check one) Fall Spring Summer Year ______
7. Location desired: ___________________________________________________________________
8. The internship is a requirement for completion of (check one):
Endorsement Plan
Licensure program
Master of Education
9. My graduate endorsement plan-of-study was approved on ___________________________________(indicate date).
Masters degree candidates must have an approved Plan-of-Study before the Field Experience and Clinical Practice
Coordinator can accept this application.
10. Master of Education candidate: I expect to graduate: Semester _________ Year _________
11. Date admitted to Teacher Education or School Counseling Program: ______________________________
Or, Teacher Licensure (Folio) Number (if applicable): ___________________________________________
12. Who is the University Supervisor for this internship? ______________________________________________
APPROVALS:
1. __________________________________________________ 2. ___________________________________________
Student’s Signature Advisor’s Signature
3. ________________________________________________________ 4. _________________________________________________
Department Chair Field Experience and Clinical Practice Coordinator
Revised March 2011
ADVANCED FIELD EXPERIENCE/INTERNSHIP
Experience Design
DATE _______________________
CANDIDATE _________________________________ ID # __________________________________
ADVISOR ____________________________________ SUPERVISOR _________________________
1. Explain in narrative form the purpose of this field experience/internship. Relate the narrative
to appropriate advanced INTASC Standards. (What, in terms of the candidate’s professional
development, is this experience/internship intended to accomplish? Why is the candidate engaging in
this activity?)
2. Describe the specific nature of the field experience/internship.
a. Briefly set out critical experience/placement information: location, duration, expected
work/activity, subjects (children), contacts with other professionals. (What will the
candidate do? Where? When? How? Sentences please.)
b. For each Advanced Standard that is appropriate to the internship, what will the
candidate do to satisfy the criteria? Describe briefly as needed.
STANDARD
ACTIVITY/RESPONSIBILITY
#1. Locate, read, and evaluate relevant
professional and academic literature.
The candidate will
#2. Demonstrate understanding of similarities
and differences in human learning and
development.
The candidate will
#3. Demonstrate mastery in subject area
content knowledge [and] understanding [,]
and skill in applying that knowledge and
understanding.
The candidate will
#4. Demonstrate professionalism that extends
beyond technically accurate knowledge and
effective skills.
The candidate will
Revised March 2011
#5. Integrate extant theory and evidence into
one’s professional activities.
The candidate will
#6. Critically analyze [ ] one’s own practice in
light of professional standards and applicable
policy.
The candidate will
3. Describe the manner(s) in which candidate performance in this experience/internship will be
assessed.
a. Explain, in narrative form, the candidate generated products, performances, records,
etc. that will certify the nature of candidate engagement in this experience/internship.
b. For each standard addressed in #b, above, fill in the following table to indicate
alignment of candidate generated product(s), etc. with assessments.
STANDARD
PRODUCT/PERFORMANCE
SCORE
#1
1 2 3 4 5
N/A
#2
1 2 3 4 5
N/A
#3
1 2 3 4 5
N/A
#4
1 2 3 4 5
N/A
#5
1 2 3 4 5
N/A
#6
1 2 3 4 5
N/A
5 = exceeds all expectations
4 = partially exceeds expectations
3 = meets expectations
2 = partially meets expectations
1 = does not meet expectations
Revised March 2011
c. Professional Dispositions: The candidate demonstrates a belief that all students can
learn and exhibits fairness in his/her actions
1
Performance
Shows Little or
No Evidence
2
Performance
Demonstrates
Inconsistent or
Weak Evidence
3
Performance
Demonstrates Some
Evidence
4
Performance
Demonstrates
Adequate Evidence
5
Performance
Demonstrates
Competency
Score
Demonstrates an
acceptance of
differences in
others
Fails to accept the
differences of others
Is able to accept a few
minor differences
Accepting of most
differences in others
Approaching acceptance
of all differences in others
Attains acceptance of
differences in others
Shows a respect of
different
perspectives
Weakness in
considering other
perspectives
Acknowledges other
perspectives but still
holds one viewpoint
Willingness to look at
most viewpoints and see
the reasoning behind the
ideas
A reasonable and
comprehensive
examination of various
points of view
Thorough and insightful –
reveals a credible viewpoint
by effectively critiquing other
perspectives
Demonstrates a
belief that all
students can learn
Discriminates
against certain
groups of students
Shows the belief that
some students can learn
Shows the belief that
most students can learn
Rarely excludes certain
students from the learning
process
Includes all students in the
learning process
Uses fair
procedures in
dealing with others
Uses inconsistent
procedures
Uses a few consistent
procedures
Tries to be fair to all
students and treat all
students equitably
Approaching equitable
treatment for all students
Attains equitable treatment
of all students
Reflects on and
analyzes practice
Superficial analysis
of teaching
Does little analysis of
teaching
Does analysis in most
teaching situations
Analyzes teaching with
regard to the whole group
and most of the individual
students
Analyzes lessons with
regard to each student in the
classroom
Internship design agreement:
________________________________________________________ ______________
(Candidate Signature) (date)
________________________________________________________ _______________
(Advisor Signature) (date)
Certification of Internship Completion:
________________________________________________________ _______________
(Candidate Signature) (date)
________________________________________________________ _______________
(Advisor Signature) (date)
Click Here to Print
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Internship Application (Montana State University - Billings)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document