Special Education Clinical Practice/Internship

Handbook/Forms for Education Specialist Program

• Education Specialist Handbook (To be read carefully by every candidate.)
• Breadth of Experience Requirement
• Student Appeals and Grievance Policy
• Statement of Concern
• Contract to Pass CSET

Clinical Practice Liability and Safety

• Release of Liability Form
• Reporting Injuries/Illness that occur during CP/Internship
• TB Risk Assessment and Certificate of Clearence

Clinical Practice/Intern Syllabi

• EDMX 572: ES Clinical Practice Mild/Moderate
• EDMX 573: ES Clinical Practice Moderate/Severe
• EDMX 671: ES Internship Mild/Moderate
• EDMX 672: ES Internship Mild/Moderate
• EDMX 673: ES Clinical Practice Moderate/Severe Interns
• EDMX 674: ES Clinical Practice Moderate/Severe Interns

Teaching Performance Expectations (TPEs)

• Education Specialist Teaching Performance Expectations (ES TPEs) - Full Text
• Preliminary Mild/Moderate Education Specialist Teaching Performance Expectations Clinical Practice Assessment (EDMX 572)
• Preliminary Moderate/Severe Education Specialist Teaching Performance Expectations Clinical Practice Assessment (EDMX 573)
• Multiple Subject and Single Subject Teaching Performance Expectations (TPEs) - Full Text
• Multiple Subject TPEs Rubric 
• Multiple Subject Teacher Performance Expectations (TPEs) - Foundational: Social Justice Equity

Professional Dispositions

• Education Specialist Professional Dispositions Rubric

Individualized Development Plan (IDP)

• Education Specialist Mild/Moderate Individualized Development Plan (EDMX 572, 575)
• Education Specialist Moderate/Severe Individualized Development Plan (EDMX 573, 635)

Forms Common to Education Specialist Clinical Practice and Field Experiences

• Teacher Candidate Handbook Agreement
• Clinical Practice Placement Application
• Clinical Practice Weekly Professional Collaboration Log
• Clinical Practice Weekly Reflection and Planning Form
• Clinical Practice Lesson Plan Template (EDMX 572, 671, 672)
• Clinical Practice Lesson Planning and Delivery Observation Form
• Clinical Practice Generic Observation Form

Mild/Moderate Education Specialist Clinical Practice Forms

• Mild/Moderate Education Specialist TPE Weekly Conversation and Planning Form (EDMX 572)
• Mild/Moderate Education Specialist Observation of IEP Meeting Form (EDMX 572)
• Mild/Moderate Education Specialist Observation of Assessment Administration Form (EDMX 572)
• Mild/Moderate Education Specialist FBA/BIP Form (EDMX 572)

Mild/Moderate Education Specialist Intern Log/Weekly Reflection and Planning Form

• EDMX 671/672: Weekly Intern Collaboration Log
• Weekly Reflection and Planning Form

Moderate/Severe Education Specialist Intern Log/Weekly Reflection and Planning Form

• EDMX 673/674: Weekly Intern Collaboration Log
• Weekly Reflection and Planning Form

Moderate/Severe Education Specialist Clinical Practice Forms

• Moderate/Severe Specialist TPE Weekly Conversation and Planning Form (EDMX 573)
• Moderate/Severe Education Specialist Lesson Plan Components (EDMX 573)
• Moderate/Severe Education Specialist IEP-at-a-Glance Template (EDMX 573)
• Moderate/Severe Education Specialist Instruction and Progress Monitoring Evaluation Form (EDMX 573)
• Moderate/Severe Education Specialist Scheduling and Planning Evaluation Form (EDMX 573)

Clinical Practice Placement and Summary Forms

• Summary Form of EDMX 570 Clinical Practice I
• Summary Form of EDMX 571 Clinical Practice II
• Summary Form EDMX 572/573 Traditional Clinical Practice

• Summary Form EDMX 671/672/673/674 Internship

• Teacher Candidate Placement Form

School Site Administrator Information and Forms

• Cooperating Teacher Qualification Brochure
• District-Employed Supervisor Orientation/Training

 

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Documents for Programs Starting F2022

• Teaching Performance Expectations (TPEs)
  • Mild to Moderate Support Needs TPE Assessment Form
  • Extensive Support Needs TPE Assessment Form
• Handbook
  Handbook
• Clinical Practice Assessment Instruments

  Program	Assessment Instruments
  MMSN Traditional Clinical Practice	MMSN Instructional Observation and TPE Assessment Form MMSN Assessment Observation Form MMSN IEP Observation Form MMSN FBA BIP Observations Form Exit Summary Clinical Practice Traditional
  MMSN Internship	MMSN Internship Instructional Observation and TPE Assessment Form MMSN Internship Assessment Observation Form MMSN Internship IEP Observation Form MMSN Internship FBA BIP Observation Form Exit Summary Clinical Practice Internship
  ESN Traditional Clinical Practice	ESN Instructional Observation and TPE Assessment Form ESN Instruction and Progress Monitoring Form ESN Scheduling Observation Form Exit Summary Clinical Practice Traditional
  ESN Internship	ESN Internship Instructional Observation and TPE Assessment Form ESN Internship Instruction and Progress Monitoring Form ESN Internship Scheduling Observation Form Exit Summary Clinical Practice Internship