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Student Teaching Diversity Report

#48

SurveyMonkey

COMPLETE
Collector: Web Link (Web Link)
Started: Wednesday, November 25, 2015 10:12:09 AM
Last Modified: Wednesday, November 25, 2015 10:57:38 AM
Time Spent: 00:45:28
IP Address: 74.110.121.158

PAGE 1: Student Teacher Information

Q1: Student Teacher Name:

Carly Assaid

Q2: Please indicate on which of the following you are


reporting information:

Student Teaching Placement 1

Q3: Semester and year in which you are reporting this


experience:

Fall 2015

PAGE 2: Classroom Specifics

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


Regular ed, however, there are some identified gifted students in the classroom.
Q5: Grade of the students for which you are reporting
information:

Third

Q6: Number of students in the classroom:

22

PAGE 3: Student Gender and Economic Status

Q7: Male students:

Q8: Female students:

15

Q9: Free/Reduced Lunch students:

30%

Q10: Not Free/Reduced Lunch students:

70%

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native:

Respondent skipped this


question

Q12: Asian or Pacific Islander:

Q13: Black, non-Hispanic

1/2

Student Teaching Diversity Report

SurveyMonkey

Q14: Hispanic:

Respondent skipped this


question

Q15: Multiracial

Q16: Non-resident Alien:

Respondent skipped this


question

Q17: Race/ethnicity unknown:

Respondent skipped this


question

Q18: White, non-Hispanic:

10

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students


with the following special needs. Check all that apply.

2/2

Gifted/Talented

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