Student Teaching Diversity Report

#70

SurveyMonkey

COMPLETE
Collector: Web Link (Web Link)
Started: Wednesday, January 20, 2016 9:45:50 AM
Last Modified: Wednesday, January 20, 2016 9:49:38 AM
Time Spent: 00:03:48
IP Address: 204.126.11.215

PAGE 1: Student Teacher Information

Q1: Student Teacher Name:

Sierra Allen

Q2: Please indicate on which of the following you are

reporting information:

Student Teaching Placement 1

Q3: Semester and year in which you are reporting this

experience:

Spring 2016

PAGE 2: Classroom Specifics

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

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

3rd grade

Q6: Number of students in the classroom:

23

PAGE 3: Student Gender and Economic Status

Q7: Male students:

13

Q8: Female students:

10

Q9: Free/Reduced Lunch students:

Q10: Not Free/Reduced Lunch students:

20

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native:

Q12: Asian or Pacific Islander:

Q13: Black, non-Hispanic

Q14: Hispanic:

1/2

Student Teaching Diversity Report

SurveyMonkey

Q15: Multiracial

Q16: Non-resident Alien:

Q17: Race/ethnicity unknown:

Q18: White, non-Hispanic:

15

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students

with the following special needs. Check all that apply.

2/2

Gifted/Talented, 504 Plan, IEP