Student Teaching Diversity Report SurveyMonkey

#280
COMPLETE
Collector: Web Link (Web Link)
Started: Monday, September 02, 2019 11:52:07 PM
Last Modified: Tuesday, September 03, 2019 12:46:04 AM
Time Spent: 00:53:56
IP Address: 72.214.68.225

Page 1: Student Teacher Information

Q1 Student Teacher Name:

Chanmi Yang

Q2 Please indicate on which of the following you are Student Teaching Placement 1
reporting information:

Q3 Semester and year in which you are reporting this Fall 2019
experience:

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:

Grade 4

Q6 Number of students in the classroom:

45

Page 3: Student Gender and Economic Status

Q7 Male students:

22

Q8 Female students:

23

1/3
 Student Teaching Diversity Report SurveyMonkey

Q9 Free/Reduced Lunch students:

n/a

Q10 Not Free/Reduced Lunch students:

n/a

Page 4: Student Race/Ethnicity

Q11 American Indian or Alaskan Native:

Q12 Asian or Pacific Islander:

Q13 Black, non-Hispanic

Q14 Hispanic:

Q15 Multiracial

10

Q16 Non-resident Alien:

n/a

Q17 Race/ethnicity unknown:

Q18 White, non-Hispanic:

18

Page 5: Special Needs

2/3
 Student Teaching Diversity Report SurveyMonkey

Q19 Please indicate whether you worked with students 504 ,

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

IEP

3/3