Completed By

Given To

When

Advising Sheet

Advisor and student

Program Director

At entrance to program

Assessment Instrument Presentation Rubric

Seminar Instructor

Student

After presentations of (1) cog/acad and (2) projective assessments in Seminar

Attainment Grid

Seminar Instructor

Program Director

At completion of internship

Case Study Design and Plan

Student

Practicum/Seminar Inst.

Before beginning data collection for each CS during Practicum I and Internships

Case Study Permission

Student/Parent

Practicum/Seminar Inst.

Before beginning data collection for each CS during Practicum I and Internships

Case Study Rubric

Practicum/Seminar Inst.

Student and file

After revision of each CS during Practicum I and Internships

Change of Level Form

Students who complete the MEd portion and are entering the Ed.S. portion of the program

Program Director

September 5th for the fall semester, February 5th for spring/ summer

Consultation Feedback Form

Parent or Teacher

Field Supervisors

During Practicum I and Internships

Counseling Case Notes

Student

Field Supervisors

During Internship

Counseling Permission

Student

Field Supervisors

During Internship

Counseling Treatment Plan

Student

Field Supervisors

During Internship

Degree Application

Students planning to obtain M.Ed. or Ed.S. degree end of semester

Program Director

September 5th for the fall semester, February 5th for spring/ summer

Employer Agreement Form

Incoming students

Program director

Upon program entrance

Field Supervisor Tuition Voucher Request Form

Student

University Supervisor

Each semester—by October 1 in fall, by March 1 in spring

Fourth statement of personal growth

Information/sample

Grad Assistantship Application

Student

Administrative Assist.

At program entrance (or later)

Incomplete Contract

Faculty and student

Program Director

At student’s receipt of Incomplete for any class

Inservice Presentation Rubric

Seminar Instructor

Student

After presentation

Intern Contract

Student, Field Supervisor, Field Administrator, University Supervisor

Program Director

After successful interview and placement agreement is reached

Intern Evaluation

Student and Field Supervisors

University Supervisor

Reviewed mid term; submitted at the end of each semester

Internship Application

Student

Program Director

Before applying for internship

Internship Contact Questions

University Supervisor

(Informational)

Internship Site Information Form

Student

Program Director

End of placement at each field site

Journal Assignment

Student

Seminar Instructor

Weekly during  internship

Log (Practicum and Intern)

Student and Field Supervisors

University Supervisor

Each semester

Log (Practicum and Intern)(Sample)

Information

Meeting Observation

Field supervisors and University Supervisor

Student

After meetings during Practicum/ Internship

Observation Rubric

Field supervisors and University Supervisors

Student

After on-site observations in Practica and Internship

On Line Tools

Information

Out-of-state knowledge of Massachusetts Frameworks-student

Students completing internships out of state

Include in portfolio

At end of internship

Out-of-state knowledge of Massachusetts Frameworks-student

Seminar instructors for students completing internships out of state

Program director

At end of internship

Practicum Application

Student

Program Director

When applying for Practicum I or II

Practicum Contract

Student, Field Supervisor, Field Administrator, University Supervisor

Program Director

After successful interview and placement agreement is reached

Practicum Student Evaluation Form

Practicum student, Field /University supervisors

University supervisor

Reviewed mid term; submitted at the end of each Practicum

Pre-Practicum Log

Student and Field Supervisor

Instructors in courses requiring Pre-practicum hours (e.g. SPY 601), then Program Director.

At completion of hours

Presentation Evaluation

Recipients

Seminar instructor

After presentations

Preservice Performance Assessment Cover Sheet

University Supervisor

Licensure Officer

End of internship

Program Evaluation Form

Student

Program director

After graduation

Psychoed Report Rubric

Seminar Instructor

Student

Upon completion of each psychoed report

Psychoed Report Template

Information

Site Description Rubric

Seminar Instructor

Student

After Site Description received

Supervision Log (Practicum and Internship)

Student and Field Supervisors

SPY 688 University Supervisor

Each semester

Supervision Conference Questions

University Supervisor

Informational

Team Meeting, running

Information

Testing Observation

Field supervisor and University Supervisor

Student

After observing testing during Practicum II and Internship

Third Statement of Personal Growth

Information/Sample

Transfer Credit Approval

Student and Program Director

Registrar

After official transcript of approved course is received