Student Teaching Diversity Report SurveyMonkey

#139 COMPLETE
Collector: Web Link (Web Link)
Started: Saturday, March 11, 2017 3:01:47 PM
Last Modified: Saturday, March 11, 2017 3:16:24 PM
Time Spent: 00:14:36
IP Address: 68.131.45.133

PAGE 1: Student Teacher Information

Q1: Student Teacher Name: Hannah Hopper

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):

The class I am with for my second student teaching placement is an A.M. and P.M. Kindergarten class. Both classes are
identified as inclusion, with a handful of students either having an IEP or 504 accommodation.

Q5: Grade of the students for which you are reporting A.M. & P.M. Kindergarten
information:

Q6: Number of students in the classroom: 34

PAGE 3: Student Gender and Economic Status

Q7: Male students: 19

Q8: Female students: 15

Q9: Free/Reduced Lunch students: 13

Q10: Not Free/Reduced Lunch students: 21

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native: 0

Q12: Asian or Pacific Islander: 3

Q13: Black, non-Hispanic 10

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 Student Teaching Diversity Report SurveyMonkey

Q14: Hispanic: 3

Q15: Multiracial 0

Q16: Non-resident Alien: 0

Q17: Race/ethnicity unknown: 0

Q18: White, non-Hispanic: 18

PAGE 5: Special Needs

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

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