Internship Supervision Form (Completed by the campus/district supervisor) Bertha Vital J agree to serve as the Administrator Supervisor for Er Na Nv. fei \ understand that my responsibilities include the following: 1. Supervising the intern during the field experiences noted in the syllabus, such as but not limited to the following facilitating access to campus or district personnel, allowing the intern to shadow me or a fellow administrator, validating the interns activity log, 2. Assisting and guiding the intern as problems may arise in completing the specified field experiences. 3. Evaluating the intern at the end of the internship. SIGNATURE: ot ‘Administrative supervisor: aes te "Assi stay Prin Date: 2/22 [16 Phone Number: Email address: School/Institution: Address: Zip: EDUC 6330/6331 Administrative Internship Dr. Virginia Leiker School of Education University of St. Thomas 3800 Montrose Boulevard Houston, Texas 77006 a7