Student Teaching Diversity Report SurveyMonkey

#110 COMPLETE
Collector: Web Link (Web Link)
Started: Tuesday, January 24, 2017 4:47:51 PM
Last Modified: Tuesday, January 24, 2017 4:53:22 PM
Time Spent: 00:05:31
IP Address: 208.54.36.229

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Beverly Leftwich

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):

Regular ed. classroom

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

Q6: Number of students in the classroom: 18

PAGE 3: Student Gender and Economic Status

Q7: Male students: 8

Q8: Female students: 10

Q9: Free/Reduced Lunch students: 12

Q10: Not Free/Reduced Lunch students: 6

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 0

Q12: Asian or Pacific Islander: 3

Q13: Black, non-Hispanic 2

Q14: Hispanic: 2

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 Student Teaching Diversity Report SurveyMonkey

Q15: Multiracial 2

Q16: Non-resident Alien: unknown

Q17: Race/ethnicity unknown: 0

Q18: White, non-Hispanic: 9

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students Bilingual, ESL
with the following special needs. Check all that apply.

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