On the Job Internship Application Instructions

Each complete application consists of the application sheet as well as a letter of employment verification. Follow the instructions carefully to ensure that all forms are complete and submitted. If you have any questions, please contact The Office of Clinical Experiences at 407-823-2518.

Your completed application is due to the Office of Clinical Experiences 2 weeks prior to your internship semester.

NOTE THAT YOU WILL NOT BE ABLE TO ELECTRONICALLY SAVE YOUR APPLICATION. KEEP COPIES OF YOUR APPLICATION. *APPLICATIONS SUBMITTED WITHOUT ALL THE NECESSARY DOCUMENTS WILL NOT BE PROCESSED*

1. ApplicationThe application is available in PDF format. All fields must be typed, unless otherwise noted. No handwritten applications will be accepted. Ensure all demographic information (i.e. name, address, email, etc.) is accurate. The Office of Clinical Experiences communicates important information via Knights Email. You must submit change of information to the Office of Clinical Experiences directly, as we do not upload information from myUCF.

3. Site Approval FormYour principal or head administrator must complete and sign this form, making sure they are aware of what is necessary

facilitate a graduate internship at their site.

4. Employment verification In order to verify your employment, submit a letter from your school stating your current position and title. The letter must be typed, on school letterhead and signed by the principal and/or your immediate supervisor.

5. Official Graduate Plan of StudyStudents may obtain an official graduate plan of study from myUCF.

An Equal Opportunity and Affirmative Action Institution

College of Education and Human Performance - Office of Clinical Experiences P.O. Box 161250 Orlando, Florida 32816-1250 407-823-2518 FAX: 407-823-3728

This document requires your assigned faculty advisor's signature, or in the advisor's absence, a faculty advisor within your program.

2. Faculty Advisor's Signature

to

Graduate Internship Application On the Job Internship

Home Campus:

Major: Internship Semester: ___________________

Internship Type: 3HR 6HR 4- PID:

Name: Phone:

Address:

Knightsmail:

Ethnicity (optional): ______________________________________________________ Gender (optional): ______________________

TEACH Grant recipient: YES NO

Internship District and School:

Faculty Checklist – Please check all requirements that have been met by the student, including current registration.

_____ Common Program requirements _____ General Education requirements _____ Internship prerequisites (See program information in catalog for further details) _____ Overall grade point average at 2.5 or above (2.75 for Early Childhood) _____ Professional grade point average at 2.5 or above (2.75 for Early Childhood) _____ Specialization grade point average at 2.5 or above (2.75 for Early Childhood) _____ GKT and/or CLAST completed AND reflected on audit ____ Student is employed in a full time faculty position aligned with their graduate program

Faculty Notes: _______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

Faculty Signature: ___________________________________ Date: _______________________________

Applicant Acknowledgement I certify that the information provided in this application is complete and accurate and I hereby agree to abide by the policies, rules, and regulations of the University of Central Florida. I authorize the release of my application materials (excluding degree audits) to school district officials as part of my internship application. I understand that it is my responsibility to meet the eligibility requirements for internship. I understand that if my submitted materials are not complete, my application will not be processed. I understand that the official approval is determined by the Director of the Office of Clinical Experiences and that placements are final and non-negotiable. I further understand that I must register myself before the University’s add/drop deadline for the internship course and all required co-requisites.

_______________________________________ _____________________________________ ___________________________ Print Sign Date

For Administrative use only: Approved Ineligible Pending Dropped Incomplete Notes: Approval Signature:

An Equal Opportunity and Affirmative Action Institution

College of Education and Human Performance - Office of Clinical Experiences P.O. Box 161250 Orlando, Florida 32816-1250 407-823-2518 FAX: 407-823-3728

Graduate Internship Application On the Job

Colleague:

Graduate students have the option to complete their Internship at a school site in which they are employed. To assure that the site meets all of the state and program requirements for Graduate Internship, please review the following requirements and return this form to UCF. Please feel free to contact the Office of Clinical Experiences with questions, as needed. The College of Education and Human Performance and the University of Central Florida appreciates your leadership and guidance during this process of continued learning. Graduate Student: ________________________________________________________

Major: _____________________________________________________________________ School: _____________________________________________________________________

Position at School: ________________________________________________________

Grade Level: _______________________________________________________________

Subjects Taught: __________________________________________________________

The following requirements must be addressed prior to approval of the on-the-job setting:

____School administrator approves internship supervisor’s campus visits and classroom observations.

____School administrator chooses an onsite mentor teacher who will check in with the graduate as needed.

*Mentor Teacher's Name ___________________________________________________________________________________

____School administrator approves real time (non-recorded) video observations/conferences.

The administrator must initial each requirement above and sign below.

______________________ ______________________________________________ Administrator Signature

______________________________________________ ______________________ Name of Administrator

Phone Number

Comments / Questions:

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

An Equal Opportunity and Affirmative Action Institution

College of Education and Human Performance - Office of Clinical Experiences P.O. Box 161250 Orlando, Florida 32816-1250 407-823-2518 FAX: 407-823-3728

Date