ࡱ> gif'` 0JLbjbjLULU ;Z.?.? %zzzzzzz8l6lj12L" J"0000000$2h5|0uz[%[%[%0zz$1''''''[%dzz0''[%0''''V=.@zz/ 93p%|}. /:10j1.x5;&5/5z/#v#T''#D $;###00&X###j1[%[%[%[%zzzzzz Howard University Department of Educational Administration and Policy Administrative Practicum Application (Due by mid-semester of the semester prior to the Practicum) Semester of Planned Practicum  FORMTEXT       Year  FORMTEXT      PART I Name  FORMTEXT       Address  FORMTEXT       FORMTEXT       FORMTEXT    FORMTEXT       (Street or P.O. Box) (City) (State) (Zip code) Preferred personal phone #  FORMTEXT       Work #  FORMTEXT       Fax #  FORMTEXT       Email address  FORMTEXT       Area of Administrative/Supervisory Concentration (Check appropriate area(s):  FORMCHECKBOX  Elementary School  FORMCHECKBOX  Middle School  FORMCHECKBOX  High School  FORMCHECKBOX  District or Central Office  FORMCHECKBOX  Educational Organization  FORMCHECKBOX  Higher Education  FORMCHECKBOX  Other (Specify) _______________________________ Preference of school, school district or other location, including the name of the prospective field supervisor, address, telephone and any other contact information.  FORMTEXT       PART II Please confirm all the prerequisite courses that you have successfully completed by attaching a copy of your transcript. 2. Please list all courses in which you are currently enrolled: Name of Course Course # Instructor  FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       PART III Rate yourself in the following areas on a scale of 1-10, with 10 as the highest:  FORMTEXT    Reading skills  FORMTEXT    Writing skills  FORMTEXT    Perceptual skills  FORMTEXT    Human relations skills  : L N T V ~   zje h=75jh tEh!5UhQh 5jth tEh!5Ujh tE5UmHnHujh tEh!5U h tE5jh tE5U h 5h 5CJaJh 56CJaJhA56CJaJh h 56CJaJ hA5h h 5'$P R T    " J r $& #$/Ifb$gd=7gd gd tE$a$gd $a$gdA$a$gdA$a$gdsR$a$gd KHL " $ 8 : < F H J L ` b d n p r t ( 2 6 8 yt h 5h=7h 5h=75CJaJh tE5CJaJh 5CJaJ h tE5jh tEh=75UjDh tEh=75Ujh tEh=75Ujh=75UmHnHuj\h tEh=75Ujh=75U h=75) B D PKKKFAFgd tEgd gd=7kd,$$Ifl\\  p t 6 0644 lae4yt=7    0 2 4 > @ N P R f h j t v ~ /01?@AWXfgh͓͋{kjh tEh!5Ujh tEh!5UhsRh 5hV4 h 5>*j1h tEh!5Ujh tEh!5UjGh tEh!5U h 5jh tE5UmHnHujh tEh!5U h tE5jh tE5U*D /0Wz[\] 268:<>@PRF & FgdQgdQ$a$gdsRgdV4 gd gd tEhz{'()+]l   "$.zkjh tE5UmHnHujh tEh!5UhV4 h 5>* h 5>*j_h tEh!5Ujh tEh!5Ujwh tEh!5Ujh tEh!5Ujh tEh!5U h tE5jh tE5U h 5*.0RHJRLN\^rxzͿخ͠p\p&j h tEh=75CJUaJ%jh=75CJUaJmHnHu&jI h=7h-u5CJUaJh=75CJaJjh=75CJUaJ h=75hQh 5CJaJhQh 5>*CJaJh 5>*CJaJhQh 5 h 5>*hQh 5>* h 5jh tE5U$FHJ.[kd $$IflF,"L$ ( t06    44 layt=7 $Ifgd gd gdQ  *,.0DFHNPRThjlvx|~ԼԼԼԼlԼ&j h=7h-u5CJUaJ&j h tEh=75CJUaJ&j h tEh=75CJUaJ&j& h=7h-u5CJUaJ h=75%jh=75CJUaJmHnHujh=75CJUaJ&j5 h tEh=75CJUaJh=75CJaJ$.Rz|ekd $$IflF,"L$ ( t06    44 layt=7 $Ifgd   024:<>@TVXbdhj~޽޽޽޽m޽&jh tEh=75CJUaJ&jVh tEh=75CJUaJ&jh=7h-u5CJUaJ&j h tEh=75CJUaJh=75CJaJ h=75%jh=75CJUaJmHnHujh=75CJUaJ&jy h tEh=75CJUaJ#>fneee $Ifgd kde$$IflF,"L$ ( t06    44 layt=7fhneee $Ifgd kdB$$IflF,"L$ ( t06    44 layt=7~ &(*,@޽޽Ƌ{lƋ\lƋjh=7h-u5Ujh=75UmHnHujh=7h-u5Ujh=75U&jh.h=75CJUaJ&j3h.h=75CJUaJh=75CJaJ h=75%jh=75CJUaJmHnHujh=75CJUaJ&jh=7h-u5CJUaJ#*Rneee $Ifgd kd$$IflF,"L$ ( t06    44 layt=7@BDNPThj|:<PRTXZ^*,.24|l|\|jch tEh!5Ujh tEh!5Ujh tE5UmHnHujwh tEh!5U h tE5jh tE5U h 5hQh 5h.5CJaJh 5CJaJh tE5CJaJ h=75jh=75UmHnHujh=75Ujh=7h-u5U$RTVhj|~niididd\WWgdV4 $a$gdV4 gd gd=7kd$$IflF,"L$ ( t06    44 layt=7 8:BBCCCCrDtDDDDDDDDDDHEJEh^hgdV4 h^hgd tEgdV4  & FgdV4 BBBBBB BBBBBBBBBBBBBBCCCvCxCCCCCCCCCtDvDDDһҫқҋ̓sj'h tEh!5UhQh 5jh tEh!5Uj;h tEh!5Ujh tEh!5UjOh tEh!5UU h 5 h tE5jh tE5UmHnHujh tE5Ujh tEh!5U-FORMTEXT    Analytical skills  FORMTEXT    Technological skills  FORMTEXT    Budgetary skills  FORMTEXT    Overall content knowledge What do you consider the strongest attributes that you bring to the internship?  FORMTEXT       What area(s) of your administrative skills would you like to further develop?  FORMTEXT       Signed ____________________________________ _____________________ (Intern) (Date) Approved for Placement ___________________________________ _____________________ (Faculty Advisor) (Date) Approved for Placement ___________________________________ ____________________ (Department Chair) (Date) Name of Department Coordinator  FORMTEXT       Comments:  FORMTEXT           PAGE  PAGE 3 DDDDJELE`EbEdEnEpEEE\FFZGhGpG~GGGH(I8IHIJILIxIrJJKKKRKTKKKKK˷Ԥԛyynnnnbh-`h 5CJaJh 56CJaJh(h 5CJaJh(h 56CJaJh(h 5h 5CJaJ%jh tE5CJUaJmHnHu&jh tEh!5CJUaJh tE5CJaJjh tE5CJUaJ h 5jh tE5UmHnHujh tE5U&JErEtEvExEzE|E~EEEEEEEEEEEEEEEEEE\F~G &d P gdV4 gdV4 $a$gdQgd tE~GG2HHILIJKKTKKKKKKKLLL LLLLL(L*L,Lh]hgd-` &`#$gd-`gdAgdV4 KKKKKKKKKKKKKKKKLLL L LLLLL$L&L(L,L.L:LLԸ}uquququqgaga]gagRhA0JmHnHuhA hA0JjhA0JUh-ujh-uUh-`h tE5jh tE5UmHnHujh tEh!5Ujh tE5U h tE5 h 5h 5CJaJ%jh tE5CJUaJmHnHujh tE5CJUaJ&jh tEh!5CJUaJh tE5CJaJ >L@LBLFLHLJLh-`h tE5h-uhA hA0JjhA0JU,LBLDLFLHLJLgdV4 h]hgd-` &`#$gd-`9 01hP:p-`/ =!"#$% tD Text1tDText2tD2Text3tD<Text4tDText5tDText6tD Text7$$If!vh5 5p55#v #vp#v#v:Vl t 6 65 5p55e4yt=7tD Text8tD Text9vD Text10vDxText11tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck6tDeCheck7vDText12vD2Text23vDText24vDText25y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vD2Text26vDText27vDText28y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vD2Text29vDText30vDText31y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vD2Text32vDText33vDText34y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vD2Text37vDText38vDText39y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vD2Text40vDText41vDText42y$$If!vh5L5$ 5(#vL#v$ #v(:Vl t65L5$ 5(yt=7vDText15vDText16vDText17vDText20vDText18vDText21vDText19vDText22vDText13vDText14vD2Text36vDText35@@@  0NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No List 4@4 -`Header  !2)@2 -` Page Number^Jj@j =7 Table Grid7:V0%Z FkefmnRS/0Wz[\] ()H\n 34HZnop q 9 : N O P Q R S T U V .    !"#&000000000000000 0 0 0 0 000000000000000000000000000000 0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000 000000000000 00000000000 00000000000000000000000000000000000000000000000000000@0@000,1 $$$$$' h.~@DK>LJL  '*+ D F.fRJE~G,LJL (),HLsnz0@Wgz(HTZ\hlnz  +14@FHTXZflo{),iux J V Y q } : F L %FFFFFFFFFFFG G G G G G G FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF  '!!1Text1Text2Text3Text4Text5Text6Text7Text8Text9Text10Text11Check1Check2Check3Check4Check5Check6Check7Text12Text23Text24Text25Text26Text27Text28Text29Text30Text31Text32Text33Text34Text37Text38Text39Text40Text41Text42Text15Text16Text17Text20Text18Text21Text19Text22Text13Text14Text36Text35sn1X{H\n 4HZoiJ q ; &  !"#$%&'()*+,-./0Ah)[m 2GYm-y Z M &٤IڤTHۤTFܤEݤGޤHߤLऐTLCj//&Tw66&8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType )'-   #&,.]z   #&333n])   #&   #&[6DotZc]Nh?7gy.J^`^Jo(.^`^J.pLp^p`L^J.@ @ ^@ `^J.^`^J.L^`L^J.^`^J.^`^J.PLP^P`L^J. hh^h`>*^Jo(.88^8`^J.L^`L^J.  ^ `^J.  ^ `^J.xLx^x`L^J.HH^H`^J.^`^J.L^`L^J. hh^h`OJQJo( ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(?7gyZc][6                  $A         0 V4 ! . tE! 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