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Graduate Studies in Education

    Administrative Mentor Acceptance Form

Administrative/Supervisory

 Mentor Internship Acceptance

You have been requested by the following graduate student to be his/her mentor for an administrative internship.  If you are willing to accept this assignment and its accompanying responsibilities, please complete this form and return it to the Office of Graduate Studies in Education at Southern Utah University.  A $100.00 stipend will be paid to both of the elementary and secondary mentors of each administrative intern (this will be divided proportionately if more than one school is used to complete either the elementary or secondary portion of the internship).

Intern requesting placement
School requested
Mentor Principal requested
Starting Date

Responsibilities of the administrative mentor:

	Return this acceptance document to the SUU Office of Graduate  Studies in Education.
	Establish a plan, with the intern, wherein he or she can to be exposed to and or assume the wide variety of administrative duties as outlined in the Handbook of Educational Leadership
	Initial the intern's hourly accountability log to establish validity of the hourly requirement.
	Complete a midterm and a final evaluation of the intern's achievement of the course objectives and goals and return them to the SUU Office of Graduate Studies in Education.
	Assist the intern in completing the requirements for the Educational Administrative portfolio and work sample

I accept the responsibility of serving as an administrative mentor of the above candidate until he/she has completed the criteria applicable to this internship.

______________________________________                    ______________________________
Principal                                                                                            Date

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