Student Teaching Diversity Report

#349
COMPLETE
Collector:
Web Link
(Web Link)
Started:
Friday, September 10, 2021 7:51:56 AM
Last Modified:
Friday, September 10, 2021 7:59:23 AM
Time Spent:
00:07:27
IP Address:
67.226.221.4

Page 1: Student Teacher Information

Q1
Student Teacher Name:

Cassidy Dooly

Q2 Student Teaching Placement 1

Please indicate on which of the following you are reporting

information:

Q3 Other (please specify):

Fall 2021
Semester and year in which you are reporting this
experience:

Page 2: Classroom Specifics

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

Inclusion

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

Fifth Grade

Q6
Number of students in the classroom:

20

Page 3: Student Gender and Economic Status

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 Student Teaching Diversity Report

Q7
Male students:

11

Q8
Female students:

Q9
Free/Reduced Lunch students:

16

Q10
Not Free/Reduced Lunch students:

Page 4: Student Race/Ethnicity

Q11 Respondent skipped this question

American Indian or Alaskan Native:

Q12
Asian or Pacific Islander:

Q13
Black, non-Hispanic

Q14
Hispanic:

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 Student Teaching Diversity Report

Q15
Multiracial

Q16 Respondent skipped this question

Non-resident Alien:

Q17 Respondent skipped this question

Race/ethnicity unknown:

Q18
White, non-Hispanic:

Page 5: Special Needs

Q19 ESL,

Please indicate whether you worked with students with the 504 Plan,
following special needs. Check all that apply.
IEP

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