Student Teaching Diversity Report

1. Student Teacher Name: ___Audrie Lofay_________________________

2. Please indicate on which of the following you are reporting information:
Practicum Tier 1

Student Teaching Placement 1

Practicum Tier 2

Student Teaching Placement 2

3. Semester and year in which you are reporting this experience: ____Spring
2015______
4. Description of the type of classroom (i.e. inclusive, gifted):_AM General/PM
Inclusion_______
5. Grade of the students you are reporting information:
____4th______________________
6. Number of students in the classroom:_____AM: 22/PM:
20____________________________
7. Student Gender (number per category)
a. Male _AM: 11/PM: 9______
b. Female _AM: 11/PM: 11_______
8. Student Economic Status (number per category)
a. Free/Reduced Lunch _AM: 9.2/PM: 8.4_____
b. Not Free/Reduced Lunch _AM: 2.6/PM: 2.4________
9. Student Race/Ethnicity (number per category)
a. American Indian or Alaskan Native _AM: 0/PM: 0____
b. Asian or Pacific Islander _AM: 2/PM: 1____
c. Black, non-Hispanic _AM: 5/PM: 8____
d. Hispanic _AM: 2/PM: 2____
e. Multiracial _AM: 3/PM: 1____
f. Non-resident Alien _AM: 0/PM: 0____
g. Race/ethnicity unknown _AM: 0/PM: 0____
h. White, non-Hispanic _AM: 8/PM: 8____
10.Please indicate whether you worked with students with these special needs
(check all that apply):
a. Bilingual _0____
If you are unable to obtain classroom level data
b. ESL _0__
for any categories, seek out school level
c. Gifted/Talented _AM: 0/PM: 1__
percentages and then calculate the number of
d. 504 Plan __0___
students in your class that would equal the
e. IEP _AM: 0/PM: 6__
school level percentages. (E.g., if you have 22
f. None _____
students in your class and 75% of school
students are on free/reduced lunch, then 75% x
22 = 16.5 students in your class on