Student Teaching Diversity Report SurveyMonkey

#202
COMPLETE
Collector: Web Link (Web Link)
Started: Saturday, April 21, 2018 4:05:14 PM
Last Modified: Wednesday, April 25, 2018 4:56:06 PM
Time Spent: Over a day
IP Address: 98.183.198.165

Page 1: Student Teacher Information

Q1 Student Teacher Name:

Emily Simmons

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 2018
experience:

Page 2: Classroom Specifics

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

Inclusion

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

First

Q6 Number of students in the classroom:

25

Page 3: Student Gender and Economic Status

Q7 Male students:

11

Q8 Female students:

14

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Q9 Free/Reduced Lunch students:

Q10 Not Free/Reduced Lunch students:

23

Page 4: Student Race/Ethnicity

Q11 American Indian or Alaskan Native:

Q12 Asian or Pacific Islander:

Q13 Black, non-Hispanic

Q14 Hispanic:

Q15 Multiracial

Q16 Non-resident Alien:

Q17 Race/ethnicity unknown:

Q18 White, non-Hispanic:

19

Page 5: Special Needs

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Q19 Please indicate whether you worked with students Bilingual,

with the following special needs. Check all that apply.
504 ,
Plan

IEP

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