Student Teaching Diversity Report

1. Student Teacher Name: _Ashley LeGrand

2. Please indicate on which of the following you are reporting information:
Practicum Tier 1

Student Teaching Placement 1

Practicum Tier 2

Student Teaching Placement 2

3. Semester and year in which you are reporting this experience: __Fall
2015_____
4. Description of the type of classroom (i.e. inclusive,
gifted):___Inclusion______
5. Grade of the students you are reporting information: ___Fifth
Grade______
6. Number of students in the classroom:___24_____
7. Student Gender (number per category)
a. Male ___12_____
b. Female ___12_____
8. Student Economic Status (number per category)
a. Free/Reduced Lunch 14
b. Not Free/Reduced Lunch 10
9. Student Race/Ethnicity (number per category)
a. American Indian or Alaskan Native ____
b. Asian or Pacific Islander ____
c. Black, non-Hispanic ___19__
d. Hispanic __3___
e. Multiracial ____
f. Non-resident Alien _____
g. Race/ethnicity unknown _____
h. White, non-Hispanic __2_
10.Please indicate whether you worked with students with these special
needs (check all that apply):
a. Bilingual __3__
If you are unable to obtain classroom level data
b. ESL _2____
for any categories, seek out school level
c. Gifted/Talented _____
percentages and then calculate the number of
d. 504 Plan __1__
students in your class that would equal the
e. IEP __10__
school level percentages. (E.g., if you have 22
students in your class and 75% of school
f. None ___14__
students are on free/reduced lunch, then 75% x
Speech Services
1
22 = 16.5 students in your class on