CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

CLASSROOM ARRANGEMENT: How is the classroom arranged? Include seating chart and relevant
information about students important to consider when assigning seating/individual vs. group
seating/partner assignments:

*Sketch of classroom and seating chart

Even though the classroom is set up in groups, there is a lot of individual work that students complete. During
spotlights (test) students use a vanilla folder to cover their work and minimize distractions. During most group
work, students will stay in their seats and collaborate on assignments. However, students are also able to
move around for group works (such as to the round table, the other tables, by the VIP desk, etc.

CLASS DEMOGRAPHICS: Collect information about your students related to the following demographics. Add
additional demographics not listed that are important to consider:
CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

Students eligible for ESE & program eligibility, including the Gifted Program. What accommodations are in their
IEPs/EPs?

Students with IEPs/EPs: A.C., Z.G., M.M., J.S.D., K.T.

Accommodations: Redirections, Smaller group sizes, Shortened assignments, Extended time, etc.

*Above in a snapshot of a students’ IEP and their accommodations in the classroom

Gifted Program Students: B.C., A.C., O.C., L.D., V.F., L.H., M.P.R., R.R., L.R., F.S.

Accommodation: In the classroom, there is also a gifted teacher available (she usually teaches science!)

Students who have a 504 plan – what accommodations are in their plan(s)?

Students with 504 plans: O.C., J.P., F.S.

Accommodations: Extended time, Small group testing, Verbal encouragement, etc.

CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

*Above is a snapshot of a students 504 plan and their accommodations in the classroom

Students eligible for ELL services:

CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

● Pre-Production Level

● Early Production Level

● Speech Emergence Level

● Intermediate Fluency Level: Only one student, J.S., is eligible for ELL services. However, because he is
extremely fluent he does not need many services. If needed, however, he is provided with an English/Spanish
glossary for ELA terms and an English/Spanish Dictionary.

*Above is a snapshot of the two accommodations J.S. may use in the classroom

Cultural demographics – What ethnic backgrounds are represented by your students?

CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

17 Student: White, non-hispanic

3 Students: Multiracial

3 Students: Hispanic

*Above is a snapshot of a list provided to CT with students registered ethnicity

Gender demographics – How do your students identify?

CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

Students are male and female in identity and gender. The ratio of male to female is 11 to 12.

Socioeconomic status of your students – What percentage and which of your students qualify for free/reduced-
price lunch?

21.7% of students qualify for free/reduced-price lunch. These students are: A.C., M.P.R., L.D., L.R., J.P
CLASSROOM DEMOGRAPHICS DATA COLLECTION TOOL – LEVEL 3

*The two snapshots above are a list provided to the teachers that list student’s DOB, Next IEP due date, and their meal status.

Family demographics – what family structures do your students represent? (i.e., single-parent family, same-
gender parents, intergenerational household, foster or adoptive family, etc.)

All of the students fall into one of the three categories: dual household, single-parent family, or blended family.

ACADEMIC DATA – Using diagnostic data to determine students’ instructional needs:

LITERACY (Students in need of RtI support – include student initials)

RtI Tier 2: E.S.

- For E.S., she is provided extra small group time (monitored) for more support

RtI Tier 3: J.S., K.T., A.C., M.M., Z.G., J.S.

- In this tier, all of our students in the class are considered to be ESE students. Each day, one at a time,
they are taken out of the classroom by the school’s ESE teacher for one-on-one support.

MATH (Students in need of RtI support – include student initials)

RtI Tier 2: E.S.

RtU Tier 3: J.S., K.T., A.C., M.M., Z.G., J.S.

- In this tier, all of our students in the class are considered to be ESE students. Each day, one at a time,
they are taken out of the classroom by the school’s ESE teacher for one-on-one support.

OTHER ACADEMIC NEEDS NOT INCLUDED:

K.T. is a student with autism spectrum disorder and is nonverbal. She qualifies as an ESE student. K.T. gets taken
out of the class (daily) for more support, both academically and emotionally. She also needs constant verbal
redirection to stay on task.

ADDITIONAL DEVELOPMENTAL DATA TO CONSIDER RELATED TO STUDENT NEEDS (students overage due to
retention, students currently in their 2nd year in the grade level, outliers in behavioral age – birthday cluster
activity):

All students where born in 2012/2013 – therefore are 10-11 years old

- This means that the classroom should be designed for large cooperation
- Children can help to clean/organize/label
- Arrange furniture so children can work together in groups often
- Easy to move furniture

Clayton, M. K, & Forton, M. B. (2001). Classroom spaces that work. Thunder Falls, MA: Northeast Foundation,
Inc.