Student Teaching Diversity Report SurveyMonkey

#109 COMPLETE
Collector: Web Link (Web Link)
Started: Monday, January 23, 2017 11:31:24 AM
Last Modified: Monday, January 23, 2017 2:25:19 PM
Time Spent: 02:53:55
IP Address: 204.126.11.206

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Jessica A. Moran

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 Spring 2017
experience:

PAGE 2: Classroom Specifics

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

Extended Day Kindergarten - Title I

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

Q6: Number of students in the classroom: 15

PAGE 3: Student Gender and Economic Status

Q7: Male students: 8

Q8: Female students: 7

Q9: Free/Reduced Lunch students: Legally not able to obtain information.

Q10: Not Free/Reduced Lunch students: Legally not able to obtain information.

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 0

Q12: Asian or Pacific Islander: 0

Q13: Black, non-Hispanic 8

Q14: Hispanic: 2

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 Student Teaching Diversity Report SurveyMonkey

Q15: Multiracial 3

Q16: Non-resident Alien: 0

Q17: Race/ethnicity unknown: 0

Q18: White, non-Hispanic: 2

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students IEP

with the following special needs. Check all that apply.

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