Student Teaching Diversity Report SurveyMonkey

#144 COMPLETE
Collector: Web Link (Web Link)
Started: Thursday, March 16, 2017 11:58:20 AM
Last Modified: Thursday, March 16, 2017 12:02:47 PM
Time Spent: 00:04:27
IP Address: 70.197.139.57

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Sonya Swartzentruber

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):

General Education

Q5: Grade of the students for which you are reporting 2nd
information:

Q6: Number of students in the classroom: 25

PAGE 3: Student Gender and Economic Status

Q7: Male students: 14

Q8: Female students: 11

Q9: Free/Reduced Lunch students: 2

Q10: Not Free/Reduced Lunch students: 23

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 0

Q12: Asian or Pacific Islander: 2

Q13: Black, non-Hispanic 1

Q14: Hispanic: 1

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 Student Teaching Diversity Report SurveyMonkey

Q15: Multiracial 2

Q16: Non-resident Alien: 0

Q17: Race/ethnicity unknown: 0

Q18: White, non-Hispanic: 19

PAGE 5: Special Needs

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

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