Student Teaching Diversity Report

#58

SurveyMonkey

COMPLETE
Collector: Web Link (Web Link)
Started: Monday, December 07, 2015 9:50:40 PM
Last Modified: Monday, December 07, 2015 10:02:39 PM
Time Spent: 00:11:58
IP Address: 71.120.214.9

PAGE 1: Student Teacher Information

Q1: Student Teacher Name:

Jessie Caprio

Q2: Please indicate on which of the following you are

reporting information:

Student Teaching Placement 1

Q3: Semester and year in which you are reporting this

experience:

Fall 2015

PAGE 2: Classroom Specifics

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

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

Q6: Number of students in the classroom:

29

PAGE 3: Student Gender and Economic Status

Q7: Male students:

15

Q8: Female students:

14

Q9: Free/Reduced Lunch students:

25

Q10: Not Free/Reduced Lunch students:

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native:

Q12: Asian or Pacific Islander:

Q13: Black, non-Hispanic

23

Q14: Hispanic:

1/2

Student Teaching Diversity Report

SurveyMonkey

Q15: Multiracial

Q16: Non-resident Alien:

Q17: Race/ethnicity unknown:

Q18: White, non-Hispanic:

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students

with the following special needs. Check all that apply.

2/2

ESL, Gifted/Talented