Module BLesson 1

Student Survey
The survey is designed to evaluate my effectiveness in providing multiple means of representation,
action and expression and engagement. It also provides insights into whether the students feel that
their classroom community is kind, caring and inclusive.

Read each question carefully and choose the number that best describes you. There are no right
or wrong answers, simply circle 1 if the sentence does not describe you at all and 5 if the
sentence strongly describes you. If you describe yourself as somewhere in the middle rate
yourself accordingly.
Q1: In class, I am given opportunities to work in groups?
1
2
3
Strongly disagree
Q2: In class, I am given opportunities to work alone?
1
2
3
Strongly disagree

5
Strongly Agree

5
Strongly Agree

Q3: In class, I have opportunities to work with others on challenges that help me learn new
things?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q4: I like to have challenges that are based on real life examples.
1
2
3
4
Strongly disagree

5
Strongly Agree

Q5: In class, I am given opportunities to come up with my own projects to explore further?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q6: The teacher allows for movement and discussion within the classroom?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q7: There are a variety of learning materials and tools that allow me to access information
in different ways?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q8: The classroom bulletin boards are easy to read, informative and colorful?

1
Strongly disagree

Q9: The classroom environment is noisy and distracting?

1
2
3
Strongly disagree

5
Strongly Agree

5
Strongly Agree

Q10: The classroom materials are organized in a way that makes it easy to access the
learning tools I need?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q11: In class, I set academic goals for myself?
1
2
3
Strongly disagree

5
Strongly Agree

Q12: I find it helpful, when I reflect on my classmates work, and they reflect on mine?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q13: I feel confident to share my ideas and thoughts with my classmates?
1
2
3
4
5
Strongly disagree
Strongly Agree
Q14: I feel safe in my classroom community?
1
2
3
Strongly disagree

Q15: My classmates and teachers take an interest in who I am?

1
2
3
4
Strongly disagree

5
Strongly Agree

5
Strongly Agree

Q16: I feel that there are a variety of ways that I can express my ideas in the classroom?
1
2
3
4
5
Strongly disagree
Strongly Agree

Teacher Checklist
Q1: I plan activities for my students that foster building a respectful community?
1

Strongly disagree

5
Strongly Agree

Q2: I try to get everyone involved in completing tasks?

1

Strongly disagree

5
Strongly Agree

Q3: For certain activities I try to group students to promote opportunities for individuals to
take on leadership roles?
1

Strongly disagree

5
Strongly Agree

Q4: In class, I like my students to come up with projects that they are interested in
exploring further?
1

Strongly disagree

5
Strongly Agree

Q5: I try to get to know my students on a personal level by encouraging in class discussions
about activities outside the classroom?
1

Strongly disagree

5
Strongly Agree

Q6: I encourage students to reflect on their classmates work in addition to their own work?
1
Strongly disagree

5
Strongly Agree

Q7:Are all students participating meaningfully in curriculum and instruction in my class?

1

Strongly disagree

Strongly Agree

Q8: During instructional time, while my students are working individually or

collaboratively, I take time to observe the dynamics of the classroom?
1

Strongly disagree

Strongly Agree

Q9: I demonstrate to my students that I value them as individuals.

1

Strongly disagree

Strongly Agree

Q10: I willingly talk to students about their problems.

1
2
3

Strongly disagree

5
Strongly Agree

Q11: I like being involved with each of my students.

1
2
3

Strongly disagree

5
Strongly Agree

Q12:I believe in each of my students' capabilities and understand that they each have
unique learning styles.
1

Strongly disagree
Strongly Agree
Q13:I help my students set goals and offer advice regarding these goals.
1
Strongly disagree

5
Strongly Agree


Q14: I help students with their schoolwork and explain assignments thoroughly.
1
2
3
4
Strongly disagree

Strongly Agree

Q15: I continually check to make sure that students understand what we are saying and
doing.
1
2
3
4
5
Strongly disagree

Strongly Agree

Q16:When there are conflicts between students, I try not to take sides but mediate and help
give them tools to resolve the conflict respectfully.
1

Strongly disagree

5
Strongly Agree

Q17: After observing the students, I adjust the classroom set up, if needed, to facilitate
better learning opportunities for all?
1

Strongly disagree

5
Strongly Agree

Q18:Do students feel comfortable asking me for help with school work/or social problems?
1

Strongly disagree

5
Strongly Agree

Q19: Do your students welcome and engage new classmates.

1

Strongly disagree

5
Strongly Agree

Q20: Have I prepared a learning environment that is comfortable, functional and

aesthetic?
1

Strongly disagree

Strongly Agree

Q21: Is the prepared environment well organized making it easy for students to find the
materials and tools needed for lessons?
1

Strongly disagree

5
Strongly Agree

Q22: Are the bulletin boards and classroom decorations well designed, informative and at
the eye level of my students?
1
Strongly disagree

5
Strongly Agree

Teacher and Support Staff Survey

Q1:Do special and general educators collaborate to ensure the participation of all students
in general education classrooms?
1

Strongly disagree

5
Strongly Agree

Q2: Are the bulletin boards and classroom decorations well designed, informative and at
the eye level of my students?
1

Strongly disagree

5
Strongly Agree

Q3:Do special and general educators collaborate to address IEP objectives of students with
disabilities?
1

Strongly disagree

5
Strongly Agree

Q4:Do special and general educators collaborate to ensure that effective instructional
strategies (e.g., active learning) are implemented to support students with unique learning
characteristics?
1

Strongly disagree

5
Strongly Agree

Q5:Do teachers promote self-determination and allow students to attend and have a voice
in IEP meetings (e.g., student- led IEP meetings)?
1
Strongly disagree

5
Strongly Agree

Q6:Are special educators, general educators, paraprofessionals, and related service

professionals co- planning and co-teaching?
1
Strongly disagree

5
Strongly Agree

Administration Survey
Q1: Do staff development opportunities reflect an inclusive philosophy?
1

Strongly disagree

5
Strongly Agree

Q2: Are students being educated in the classroom with their same-age peers?
1

Strongly disagree

5
Strongly Agree

Q3:Do students use the same school spaces (e.g., lockers, entrances, lunch tables) as those
without disabilities?
1

Strongly disagree

5
Strongly Agree

Q4: Does your school pair new students with returning students in order to help make the
transition easier?
1
Strongly disagree

5
Strongly Agree

Q5: Does your school have a system of mentorship or advising groups, whereby a teacher
has a group of multi grade students to encourage cross school connections and inclusion? 1
2
3
4
5
Strongly disagree

Strongly Agree

Stereotype and Label Questionnaire

1. What is a label?
______________________________________________________________________________
_________________________________________________________________________

2.

What types of labels have you heard in school? and what or whom were they meant to
describe?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. What is a stereotype?
______________________________________________________________________________
______________________________________________________________________________
4. Give me an example of a stereotype?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

5. Are stereotypes meant to be helpful? or to injure?

______________________________________________________________________________
______________________________________________________________________________

______________________________________________________________________________
______________________________________________________________________________

6. How do you see disability expressed in our/your culture?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

7. Do you see a distinction between the words: impairment, disability and handicap?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

8. What words do you use to describe people with various disabilities?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

9. The words physically challenged, differently abled, exceptional, special are used
to label students. How do you view these labels?
______________________________________________________________________________
______________________________________________________________________________

Module BLesson 3 Homework

Childrens Commercial Television Advertising

Name of TV Show___________________________
What Product is being sold in each ad?

Who are the Targets of the Ad?

Girls

Boys

Both

1._____________________________

______

______

______

2._____________________________

______

______

______

3._____________________________

______

______

______

4._____________________________

______

______

______

5._____________________________

______

______

______

6._____________________________

______

______

______

7._____________________________

______

______

______

8._____________________________

______

______

______

9._____________________________

______

______

______

10._____________________________

______

______

______

11._____________________________

______

______

______

How do you know that a boy or girl is being targeted?

Stereotype Analysis in Advertisement, Television and/or Movie

Name of AD, Television Program or Movie: _________________________________
What is the purpose of the ad, show, or movie (to inform, to purchase a product, to
be entertained)? __________________________________________________________

Who is the target audience? and Why do you think this?

_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
What roles did the girls or women play?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

What roles did the boys or men play?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Are there any stereotypes apparent in the show or movie? If so explain and tell how
this stereotype is perpetuated?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Are any stereotypes challenged?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Pick one of the stereotypes portrayed? If you were re-doing the program how might
you improved the portrayal?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Module B Lesson 5/Stations

Five Key Questions of Media Literacy

1.

Who created this message?

2.

What techniques are used to attract my attention?

3.

How might different people understand this message differently from me?.

4.

What lifestyles, values and points of view are represented in, or omitted
from, this message?

5.

Why was this message sent?

Five Core Concepts

1.

All media messages are constructed.

2.

Media messages are constructed using a creative language with its own
rules.

3.

Different people experience the same media message differently.

4.

Media have embedded values and points of view.

5.

Most media messages are organized to gain profit and/or power.

(From Media Literacy Kit/2003)

Core Concept

Key Question

All Media messages are

constructed.

Who created this message?

Media Messages are

constructed using a
creative language with its
own rules.

What techniques are used to

attract my attention?

Different People experience

the same media message
differently.

How might different people

understand this message
differently than me?

Media have embedded

values and points of view.

What lifestyles, values, and

points of view are represented
or omitted in this message?

Media are organized to gain

profit and/or power.

Why was this message sent?

Write your Answer

in Space Provided

Module BLesson 5/Station 1

Original Lyrics for Arabian Nights theme song for Aladdin (released
1992)

Oh, I come from a land, from a faraway place

Where the caravan camels roam
Where it's flat and immense
And the heat is intense
It's barbaric, but hey, it's home
Oh, I come from a land, from a faraway place
Where the caravan camels roam
Where they cut off your ear
If they don't like your face
It's barbaric, but hey, it's home
When the wind's from the east and the sun's from the west
And the sand in the glass is right
Come on down stop on by
Hop a carpet and fly
To another Arabian night
Arabian nights, like Arabian days
More often than not
Are hotter than hot
In a lot of good ways
Songwriters
Alan Irwin Menken; Howard Ashman

Altered Lyrics for Arabian Nights theme song from Aladdin

(released in 1993)
Oh, I come from a land, from a faraway place
Where the caravan camels roam
Where it's flat and immense
And the heat is intense
It's barbaric, but hey, it's home
Oh, I come from a land, from a faraway place
Where the caravan camels roam
Where its flat and immense
And the heat is intense
Its barbaric, but its home
When the wind's from the east and the sun's from the west
And the sand in the glass is right
Come on down stop on by
Hop a carpet and fly
To another Arabian night
Arabian nights, like Arabian days
More often than not
Are hotter than hot
In a lot of good ways
Songwriters
(new lyrics agreed by Alan Irwin Menken; and the Howard Ashman estate.

Module BLesson 5/Station 4

Disney
Princess

Year

What was her

role?

Movie and or Television Show Analysis

Appearance,
Features
Characteristics

Character

Race/Ethnicity Role in Show/

Movie

Appearance,
Features
Characteristics

Station 5Lesson 5/Station 5

Stereotype Analysis in Literature

Name of book: _________________________________

Who is the target audience? and Why do you think this?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

What happens in the story?

_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Who are the characters in the story?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

What roles do the different characters portray?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Are there any stereotypes apparent in book? If so explain and tell how this stereotype
is perpetuated?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Are any stereotypes challenged?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Pick one of the stereotypes portrayed? If you were re-doing the story how might you
improved the portrayal?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________