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Student Teaching Diversity Report

#427
COMPLETE
Collector:
Web Link
(Web Link)
Started:
Wednesday, March 08, 2023 7:17:21 PM
Last Modified:
Wednesday, March 08, 2023 7:27:44 PM
Time Spent:
00:10:23
IP Address:
172.58.189.218

Page 1: Student Teacher Information

Q1
Student Teacher Name:

Nhan Lee Molzahn

Q2 Student Teaching Placement 2

Please indicate on which of the following you are reporting


information:

Q3 Other (please specify):


Spring, 2023
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):

These are mostly inclusive and IEP students.

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

10th grade English

Q6
Number of students in the classroom:

17

Page 3: Student Gender and Economic Status

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Student Teaching Diversity Report

Q7
Male students:

Q8
Female students:

10

Q9
Free/Reduced Lunch students:

Q10
Not Free/Reduced Lunch students:

Page 4: Student Race/Ethnicity

Q11
American Indian or Alaskan Native:

Q12
Asian or Pacific Islander:

Q13
Black, non-Hispanic

10

Q14
Hispanic:

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Student Teaching Diversity Report

Q15
Multiracial

Q16
Non-resident Alien:

Q17
Race/ethnicity unknown:

Q18
White, non-Hispanic:

Page 5: Special Needs

Q19 504 Plan,

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

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