Student Teaching Diversity Report

1. Student Teacher Name: Candice Milam

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): Inclusive
5. Grade of the students you are reporting information: 5th
6. Number of students in the classroom: 20
7. Student Gender (number per category)
a. Male 13
b. Female 7
8. Student Economic Status (number per category)
a. Free/Reduced Lunch: 2
b. Not Free/Reduced Lunch: 18
9. Student Race/Ethnicity (number per category)
a. American Indian or Alaskan Native _____
b. Asian or Pacific Islander _____
c. Black, non-Hispanic 1
d. Hispanic _____
e. Multiracial
f. Non-resident Alien _____
g. Race/ethnicity unknown 2
h. White, non-Hispanic 17
10.Please indicate whether you worked with students with these special needs
(check all that apply):
a. Bilingual If you are unable to obtain classroom level data
b. ESL for any categories, seek out school level
c. Gifted/Talented 1
percentages and then calculate the number of
d. 504 Plan students in your class that would equal the
e. IEP 9
school level percentages. (E.g., if you have 22
f. None 10
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