Student Teaching Diversity Report SurveyMonkey

#152
COMPLETE
Collector: Web Link (Web Link)
Started: Saturday, September 09, 2017 3:49:31 PM
Last Modified: Saturday, September 09, 2017 3:52:56 PM
Time Spent: 00:03:24
IP Address: 70.161.149.180

Page 1: Student Teacher Information

Q1 Student Teacher Name:

Lydia Hicks

Q2 Please indicate on which of the following you are Student Teaching Placement 1
reporting information:

Q3 Semester and year in which you are reporting this Fall 2017
experience:

Page 2: Classroom Specifics

Q4 Description of the type of classroom (i.e. inclusive, gifted):

Gifted Cluster Class

Q5 Grade of the students for which you are reporting information:

5th Grade

Q6 Number of students in the classroom:

26

Page 3: Student Gender and Economic Status

Q7 Male students:

11

Q8 Female students:

15

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Q9 Free/Reduced Lunch students:

35%

Q10 Not Free/Reduced Lunch students:

65%

Page 4: Student Race/Ethnicity

Q11 American Indian or Alaskan Native:

Q12 Asian or Pacific Islander:

Q13 Black, non-Hispanic

Q14 Hispanic:

Q15 Multiracial

Q16 Non-resident Alien:

Q17 Race/ethnicity unknown:

Q18 White, non-Hispanic:

10

Page 5: Special Needs

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Q19 Please indicate whether you worked with students 504 ,

with the following special needs. Check all that apply. Plan

Gifted/Talented

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