Student Teaching Diversity Report SurveyMonkey

#155
COMPLETE
Collector: Web Link (Web Link)
Started: Sunday, September 10, 2017 7:09:22 PM
Last Modified: Sunday, September 10, 2017 7:13:04 PM
Time Spent: 00:03:41
IP Address: 174.226.3.228

Page 1: Student Teacher Information

Q1 Student Teacher Name:

Kirstie Robison

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 Fall 2017
experience:

Page 2: Classroom Specifics

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

Gifted cluster

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

Q6 Number of students in the classroom:

19

Page 3: Student Gender and Economic Status

Q7 Male students:

Q8 Female students:

10

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 Student Teaching Diversity Report SurveyMonkey

Q9 Free/Reduced Lunch students:

Q10 Not Free/Reduced Lunch students:

10

Page 4: Student Race/Ethnicity

Q11 American Indian or Alaskan Native: Respondent skipped this question

Q12 Asian or Pacific Islander: Respondent skipped this question

Q13 Black, non-Hispanic

Q14 Hispanic:

Q15 Multiracial Respondent skipped this question

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 IEP,

with the following special needs. Check all that apply.
Gifted/Talented

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