Student Teaching Diversity Report

#441
COMPLETE
Collector: Web Link (Web Link)
Started: Monday, September 04, 2023 11:35:44 AM
Last Modified: Monday, September 04, 2023 11:41:57 AM
Time Spent: 00:06:13
IP Address: 70.169.26.57

Page 1: Student Teacher Information

Q1
Student Teacher Name:

Jasmine Seppala

Q2 Student Teaching Placement 1

Please indicate on which of the following you are reporting

information:

Q3 Other (please specify):

Fall 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):

Gifted

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

5th grade

Q6
Number of students in the classroom:

23

Page 3: Student Gender and Economic Status

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 Student Teaching Diversity Report

Q7
Male students:

12

Q8
Female students:

11

Q9
Free/Reduced Lunch students:

n/a

Q10
Not Free/Reduced Lunch students:

n/a

Page 4: Student Race/Ethnicity

Q11
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
Non-resident Alien:

Q17
Race/ethnicity unknown:

Q18
White, non-Hispanic:

Page 5: Special Needs

Q19 Gifted/Talented,

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

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