APPENDIX: CPSE 688R

Internship Syllabus Assignments and Attendance

Note: Main part of syllabus is included in the School Psychology Handbook—including all forms and paperwork

ATTENDANCE REQUIREMENT ---Attend all group supervision classes. Kristan will visit on site at least once this semester. Additional visits may be completed as needed. Gray columns indicate dates of class.

Student Name / 1/10
Class / 1/17 / 1/24
Class / 1/31 / 2/7
Class / 2/14 / 2/21
NASP / 2/28
Class / 3/6 / 3/13
Class / 3/20 / 3/27
Class / 4/3 / 4/10
Class / SITE VISIT #1 / SITE VISIT #2

Grading

Assignment or expectation / Grade = C / Grade = B / Grade = A
Attendance / Unexcused class absences, and did not “make up” the absences / Unexcused class absences, but made up the absences / No unexcused absences, 1 excused absence
Meeting deadlines: Turning in assignments on time / Less than 80% of work turned in on time / 80% of work turned in on time / All work turned in on time
Quality of work / Unprepared / Adequate preparation / Well prepared
Due Dates / Assignments / Buddy / Julie / Jenni / Nichole / Sara / Shalon / Leslie / Lindsay / Johann / Leslie / Aimee / Jeff
Sign-up / Case Study Presentation
Sign-up / Domain Presentation
January 31 / New Psych Report A – to be peer reviewed in class on 2/7
Final Draft Case Study #1
Internship Goals
Observation/Principal Log
January Time Log
February 10 / Final Draft Psych Report A
February 20
Portfolio
Faculty Review / ·  Psych Report #1
·  Case Study #1
·  Any 5 Domains with bullet points and artifacts
February 28 / Rough Draft Case Study #2 -
peer review in next class
Goal Update
Demographics
Observation/Principal Log
February Time Log
March 20 / New Psych Report B – to be peer reviewed in class on 3/27
March 31 / Final Draft Psych Report B
List of Assessments
Ethical Dilema
Observation/Principal Log
March Time Log
April 15 / Final Draft Case Study #2
Observation/Principal Log
April Time Log
Eval of Site
Eval of Supervisor
Supervisor’s Evaluation
April 20 – Portfolio
Faculty Review / ·  Revisions for Case Study #1, Psych Report #1, and first five Domains
·  Case Study #2
·  Psych Report #2
·  Remaining 5 Domains

Materials to be gathered for Portfolio:

____(1) Signed internship agreement (pg. 117 of Handbook)and District School Psychology Intern Agreement

____(2) Log of hours–year’s summary (signed by supervisors, intern, and university faculty) Pay particular attention to the site-based supervision hours. For 180 school days, an intern should have a minimum of 72 hours of individualized supervision from a site-based supervisor. Additionally, during the internship year, our program also requires a minimum of 25.5 hours of small group supervision (provided every other week by university faculty or adjunct faculty).

____(3) Intern’s Contact Information and On-Site Supervisor Information (pg 71 & 72 of handbook)

____(4) Documentation of School Psychology Praxis test scores – Printout of scores from ETS.

____(5) Formal Fall and Winter semester evaluations (conducted & signed by site-supervisor and university faculty)

____(6) Intern’s evaluation of internship site (form is attached)

____(7) Intern’s evaluation of supervisor (form is attached)

____(8) Intern Goal Setting Chart (pages 76-77 of Handbook). Documentation of goals should include: specific goals, activities to achieve goals, training & resources necessary to support goal acquisition. Include a written mid-term or end-of-term summary evaluating your progress (in regard to your stated goals).

____(9) 2 CASE STUDIES: The reviewers will use the NASP Case Study Rubric (pages 79-84 of Handbook) for evaluating two case studies. One case study should be an academic intervention and one should be a behavioral intervention.

____(10) 2 PSYCH REPORTS: Reviewers will use the Assessment Report: Evaluation Form (pages 103-105 of Handbook) for evaluating the two psych reports. One psych report should be academically focused and the other should be behaviorally focused.

____(11) Field Experience Demographics Worksheet

____(12) Steps in Resolving an Ethical Dilemma

____(13) CPSE End of Semester Evaluation

____(14) Final version of your excel time log spreadsheet will need to be turned in before you graduate.

Due Dates / Assignments
Sign-up / Case Study Presentation / Present for 5 – 10 minutes on the progress of case study #2
Sign-up / Domain Presentation / Present for 5 – 10 minutes on what you have compiled on a selected portfolio domain
January 31 / New Psych Report A – to be peer reviewed in class on 2/7 / Submit a new psychological report using BYU rubric written during winter semester
Final Draft Case Study #1 / Submit the final version of Case Study #1 completed during fall semester using BYU rubric
Internship Goals / Set and submit at least two internship goals to be completed during winter semester
January Time Log / Submit time log excel sheet with all hours through January 31st
February 10 / Final Draft Psych Report A / Submit final draft of the psych report written and reviewed by a peer in January
February 20
Portfolio
Faculty Review / ·  Psych Report #1
·  Case Study #1
·  Any 5 Domains with bullet points, artifacts, and reflection statements / This is the first part of your official portfolio submission due to be turned in and reviewed officially by two faculty members. Please include final versions of a psych report written to BYU standards from either fall of winter semester. Also include the final version of case study #1 completed during fall semester. Submit 5 fully completed domains of your choosing with bullet points, artifacts, and reflection statements included.
February 28 / Rough Draft Case Study #2 -
peer review in next class / Turn in what you have so far on case study #2
Goal Update / Provide mid-term update on at least two goals that were submitted in January
Demographics / Submit completed school demographics information sheet
February Time Log / Submit time log excel sheet with all hours through February 28th
March 20 / New Psych Report B – to be peer reviewed in class on 3/27 / Submit a second psychological report using BYU rubric written during winter semester
March 31 / Final Draft Psych Report B / Submit final draft of the psych report written and reviewed by a peer in March
List of Assessments / Submit updated list of assessments administered with descriptions and approximate number of administrations for each assessment
Ethical Dilema / Submit an ethical dilemma for winter semester
March Time Log / Submit time log excel sheet with all hours through March 31st
April 15 / Final Draft Case Study #2 / Submit a final draft of case study #2 for review
April Time Log / Submit time log excel sheet with all hours through end of winter semester
Eval of Site / Submit evaluation of your site – form in portfolio
Eval of Supervisor / Submit evaluation of your supervisor – form in portfolio
Supervisor’s Evaluation / Have you supervisor complete and submit their evaluation of intern for Winter semester
April 20 – Portfolio
Faculty Review / ·  Revisions for Case Study #1, Psych Report #1, and first five Domains
·  Case Study #2
·  Psych Report #2
·  Remaining 5 Domains / This is the second part of your official portfolio submission due to be turned in and reviewed officially by two faculty members. Please include requested revisions from the portfolio components submitted in February. Also include final versions of a second psych report written to BYU standards from either fall of winter semester. Also include the final version of case study #2 completed during winter semester. Submit remaining 5 domains fully completed with bullet points, artifacts, and reflection statements included.