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Student Teaching Diversity Report SurveyMonkey

#135 COMPLETE
Collector: Web Link (Web Link)
Started: Thursday, March 09, 2017 6:39:25 PM
Last Modified: Thursday, March 09, 2017 6:45:43 PM
Time Spent: 00:06:17
IP Address: 96.37.69.154

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Laura Fisher

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 First
information:

Q6: Number of students in the classroom: 19

PAGE 3: Student Gender and Economic Status

Q7: Male students: 10

Q8: Female students: 9

Q9: Free/Reduced Lunch students: 4

Q10: Not Free/Reduced Lunch students: 15

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: Respondent skipped this


question

Q12: Asian or Pacific Islander: Respondent skipped this


question

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Student Teaching Diversity Report SurveyMonkey

Q13: Black, non-Hispanic Respondent skipped this


question

Q14: Hispanic: 1

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: 18

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students None


with the following special needs. Check all that apply.

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