Student Teaching Diversity Report SurveyMonkey

#137 COMPLETE
Collector: Web Link (Web Link)
Started: Friday, March 10, 2017 11:37:47 AM
Last Modified: Friday, March 10, 2017 3:10:58 PM
Time Spent: 03:33:11
IP Address: 204.126.11.224

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Jessica A. Moran

Q2: Please indicate on which of the following you are Student Teaching Placement 2
reporting information:

Q3: Semester and year in which you are reporting this Spring 2017
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 5th
information:

Q6: Number of students in the classroom: 24

PAGE 3: Student Gender and Economic Status

Q7: Male students: 15

Q8: Female students: 9

Q9: Free/Reduced Lunch students: 24

Q10: Not Free/Reduced Lunch students: 0

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 1

Q12: Asian or Pacific Islander: Respondent skipped this

question

Q13: Black, non-Hispanic 18

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 Student Teaching Diversity Report SurveyMonkey

Q14: Hispanic: 4

Q15: Multiracial Respondent skipped this

question

Q16: Non-resident Alien: Respondent skipped this

question

Q17: Race/ethnicity unknown: Respondent skipped this

question

Q18: White, non-Hispanic: 1

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students Bilingual, Gifted/Talented, 504 Plan
with the following special needs. Check all that apply.

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