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Student Teaching Diversity Report

#420
COMPLETE
Collector:
Web Link
(Web Link)
Started:
Monday, January 30, 2023 2:46:24 PM
Last Modified:
Monday, January 30, 2023 2:48:19 PM
Time Spent:
00:01:54
IP Address:
98.183.187.220

Page 1: Student Teacher Information

Q1
Student Teacher Name:

Hailey Mason

Q2 Student Teaching Placement 1

Please indicate on which of the following you are reporting


information:

Q3 Spring 2022

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):

Neither, 2 did test for gifted in the last week

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

5th grade

Q6
Number of students in the classroom:

27

Page 3: Student Gender and Economic Status

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Student Teaching Diversity Report

Q7
Male students:

17

Q8
Female students:

10

Q9
Free/Reduced Lunch students:

Not allowed to be given but guess 5-10

Q10
Not Free/Reduced Lunch students:

17

Page 4: Student Race/Ethnicity

Q11
American Indian or Alaskan Native:

Q12
Asian or Pacific Islander:

Q13
Black, non-Hispanic

13

Q14
Hispanic:

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Student Teaching Diversity Report

Q15
Multiracial

Q16
Non-resident Alien:

Q17
Race/ethnicity unknown:

Q18
White, non-Hispanic:

12

Page 5: Special Needs

Q19 504 Plan,

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

3/3

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