Annotated-Corrected 20p
Annotated-Corrected 20p
Annotated-Corrected 20p
Name: Paulene
Supervisor: Cassie Little, Ed.S., NCSP
4: Mental and 7: Family, 8: Equitable 10: Legal,
3: Academic 5: School-Wide 6: Services to 9: Research and
Overall 1: Data-Based 2: Consultation Behavioral Health School, and Practices for Ethical, and Category
Date Time Description of Activity Interventions and Practices to Promote Safe and Evidence-Based Cumulative Hrs
Category Decision Making and Collaboration
Instructional Supports
Services and
Promote Learning Supportive Schools
Community Diverse Student
Practice
Professional Weekly Total
Interventions Collaboration Populations Practic
Assessment
Consultation
Counseling/
Intervention
IEP/Child Study
Observation
Report Writing
Case
Management/
Administrative
Supervision
-Individual
-Group
26
26
Weekly Total Per Domain 0 2 0 7.5 0 3 0 0 2 11.5
Total Weekly Internship
Total Total Hours
Signature:
Weekly Log: 8/7/2023-8/11/2023
Name: Paulene
Supervisor: Cassie Little, Ed.S., NCSP
4: Mental and 8: Equitable
3: Academic 5: School-Wide 6: Services to 7: Family, 10: Legal,
Behavioral Practices 9: Research
1: Data-Based 2: Consultation Interventions and Practices to Promote Safe School, and Ethical, and Category Weekly
Overall Category Date Time Description of Activity Health Services for Diverse and Evidence- Cumulative Hrs
Decision Making and Collaboration Instructional Promote and Supportive Community
Based Practice
Professional Total
and Student
Supports Learning Schools Collaboration Practic
Interventions Populations
8/10/2023 8-10 am Obeservation of a Pre-School/Pre-Kindergarten Assessment
Assessment 2 2 2
Consultation
Counseling/ Intervention
Observation
Report Writing
Case Management
/Administrative
59.5
Weekly Total Per Domain 9 7 3.5 1 4 0 0 0 2 7 33.5
Total Weekly Internship Total
Total Hours
Signature:
Weekly Log: 8/14/2023-8/18/2023
Name: Paulene
Supervisor: Cassie Little, Ed.S., NCSP
1: Data- 3: Academic 4: Mental and 5: School-Wide 6: Services to 7: Family, 8: Equitable 10: Legal,
2: Consultation 9: Research and
Based Interventions and Behavioral Health Practices to Promote Safe School, and Practices for Ethical, and Category Weekly
Overall Category Date Time Description of Activity and Evidence-Based Cumulative Hrs
Decision Instructional Services and Promote and Supportive Community Diverse Student Professional Total
Collaboration Practice
Making Supports Interventions Learning Schools Collaboration Populations Practic
8/15/2023 8:30-11:30 am Shadowed an assessment for suspected ASD
8/15/2023 11:30-12 pm Scored DYSC-2 assessment
8/17/2023 8-10 am Scoring ASRS and BASC assessments and writing up results
Assessment 2.5 3 5.5 7.5
8/14/2023 2-3 pm Debriefed two eligibility meetings; talked about next steps for students
8/16/2023 12-1 pm met with SLP/OT/SPED Teacher/School psych to prepare for metting w/parent
Consultation of a transfer student 1 1 2 2
Counseling/
Intervention
Report Writing
Internship
Weekly Total Per Domain 13 4.5 0 0 4.5 0 1.5 0 3 9.5 36 95.5
Total Hours
Total Weekly Total
Signature:
Weekly Log: 8/21/2023-8/25/2023
Name: Paulene
Supervisor: Cassie Little, Ed.S., NCSP
3: Academic 4: Mental and 5: School-Wide 6: Services to 7: Family, 8: Equitable
9: Research and 10: Legal, Ethical,
1: Data-Based 2: Consultation Interventions and Behavioral Health Practices to Promote Safe School, and Practices for Category Weekly
Overall Category Date Time Description of Activity Evidence-Based and Professional Cumulative Hrs
Decision Making and Collaboration Instructional Services and Promote and Supportive Community Diverse Student Total
Practice Practic
Supports Interventions Learning Schools Collaboration Populations
8/22/2023 8-10a Observed play-based assessment
8/22/2023 10-11a Scored the DAYC-2 cognitive, adpative, and social-emotional
domains
Assessment 3 3 10.5
Consultation 2
Counseling/ Intervention
Observation 5
Case Management
1
/Administrative
Supervision
-Individual 2 2 26
-Group
37 Internship
Weekly Total Per Domain 6 1.5 0 14 0 0 0 0 1 14.5 132.5
Total Weekly Total Hours
Total
Signature:
Weekly Log: 8/28/2023-9/1/2023
Name: Paulene
Supervisor: Cassie Little, Ed.S., NCSP
3: Academic 4: Mental and 5: School-Wide 6: Services to 7: Family, 8: Equitable 10: Legal,
9: Research
1: Data-Based 2: Consultation Interventions and Behavioral Health Practices to Promote Safe School, and Practices for Ethical, and Category Weekly
Overall Category Date Time Description of Activity and Evidence- Cumulative Hrs
Decision Making and Collaboration Instructional Services and Promote and Supportive Community Diverse Student Professional Total
Based Practice
Supports Interventions Learning Schools Collaboration Populations Practic
8/30/2023 11-1p KABC observation
Assessment 2 2 12.5
Consultation 2 2 4
Counseling/ Intervention 0 0
Case Management
0 1
/Administrative
36 Internship
Weekly Total Per Domain 11.5 7.5 0 0 0 0 1 0 1 15 168.5
Total Weekly Total Hours
Total
Signature: