St. Bonaventure University
Educational Leadership
Internship Application
‘Submit to: Educational leadership Chair
St. Bonaventure University
School of Education
PO Box AB
St. Bonaventure, NY 14778
2 _Kelly Dunham Date 10/15/13
2 Address _91 Herman Ave.
itate/Zip _ Wellsville, NY 14895 _ E-Mail _dunhamka13@bonaventure.edu
2Phone . 585-610-7523
ess (School or Agency) _Belfast Central School
285 _1 King Street
itate/Zip _Belfast, NY 14711
Phone _585-365-2092 Work Fax 585-365-2340
nt Certifications Held _Schoo! Counseling
ication You Plan to Earn _NY SBL
NY SBLx ny soi]
of Teaching Experience _9 Yrs. School Counselor, 7 yrs. CSE Chairperson
of Administrative Experience _n/a
ts of Graduate Work Completed at End of Present Semester 6
ts of Graduate Work in EDL Completed at End of Present Semester nfa
2 of School District/Agency for Internship Belfast Central Schoo!
2 of School or Building —_Belfast Central School
> of Superintendent or Executive Officer Judy May
2 of Internship Site Supervisor _ Michael Roche - Principalof Internship Position (if
sable) nfa
iption of Plan for Internship Experience
ours ~ Elementary Principal, 400 hours ~ High School Principal
ipated Schedule ~ School/Work (Daily) Daily 1.5 hours/day
\ship Schedule Daily and during holiday breaks
in the Steps You Have Taken or Plan to Take to Finalize Your Schedule
2 spoken with our K-12 al, he i
the process of approving this with the Superintendent.
ou Admitted to (Please Check)
Degree Program
ag Certification Program x
B) Number of Graduate Hours Completed at St. Bonaventure University _ 51.
in How Your Internship Responsibilities Will be Beneficial to the School District.
ternship responsibilities will target areas of need within the district as well as support current administrative
ices.
in How You Feel the Internship Will Help You Including Your Analysis of Areas that Require Strengthening.
roposed internship will assist my overall understanding and experiences with the administrative processes. It will
ne the opportunity to target the areas that | am most unfamiliar with in order to concentrate on these, such as the
of curriculum, 7
int’s Signature i, Dunbar Date iolis i
upervisor Signature “Mithal Qi bisa
srsity Supervisor Signature