Student Teaching Diversity Report

#87

SurveyMonkey

COMPLETE
Collector: Web Link (Web Link)
Started: Friday, September 09, 2016 5:01:48 PM
Last Modified: Friday, September 09, 2016 5:07:13 PM
Time Spent: 00:05:24
IP Address: 72.218.32.103

PAGE 1: Student Teacher Information

Q1: Student Teacher Name:

Elisabeth Moore

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 2016

PAGE 2: Classroom Specifics

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

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

3rd Grade

Q6: Number of students in the classroom:

17

PAGE 3: Student Gender and Economic Status

Q7: Male students:

Q8: Female students:

Q9: Free/Reduced Lunch students:

6 (based on school percentage)

Q10: Not Free/Reduced Lunch students:

11 (based on school percentage)

PAGE 4: Student Race/Ethnicity

Q11: American Indian or Alaskan Native:

Q12: Asian or Pacific Islander:

Q13: Black, non-Hispanic

Q14: Hispanic:

1/2

Student Teaching Diversity Report

SurveyMonkey

Q15: Multiracial

Q16: Non-resident Alien:

Respondent skipped this

question

Q17: Race/ethnicity unknown:

Respondent skipped this

question

Q18: White, non-Hispanic:

10

PAGE 5: Special Needs

Q19: Please indicate whether you worked with students

with the following special needs. Check all that apply.

2/2

Bilingual, IEP