Student Teaching Diversity Report SurveyMonkey

#146 COMPLETE
Collector: Web Link (Web Link)
Started: Thursday, March 23, 2017 4:58:47 PM
Last Modified: Thursday, March 23, 2017 5:09:15 PM
Time Spent: 00:10:28
IP Address: 204.126.10.193

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Arrykka Jackson

Q2: Please indicate on which of the following you are Student Teaching Placement 2
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):

Inclusive with a gifted cluster

Q5: Grade of the students for which you are reporting 5th
information:

Q6: Number of students in the classroom: 52

PAGE 3: Student Gender and Economic Status

Q7: Male students: 25

Q8: Female students: 27

Q9: Free/Reduced Lunch students: 14

Q10: Not Free/Reduced Lunch students: 38

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 0

Q12: Asian or Pacific Islander: 7

Q13: Black, non-Hispanic 9

Q14: Hispanic: 4

1/2
 Student Teaching Diversity Report SurveyMonkey

Q15: Multiracial 10

Q16: Non-resident Alien: 0

Q17: Race/ethnicity unknown: 0

Q18: White, non-Hispanic: 22

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students Bilingual, ESL, Gifted/Talented, 504 Plan, IEP
with the following special needs. Check all that apply.

2/2