Student Teaching Diversity Report SurveyMonkey

#224
COMPLETE
Collector: Web Link (Web Link)
Started: Tuesday, October 30, 2018 12:50:10 PM
Last Modified: Tuesday, October 30, 2018 1:02:46 PM
Time Spent: 00:12:35
IP Address: 64.5.147.2

Page 1: Student Teacher Information

Q1 Student Teacher Name:

Nicholas Kowalski

Q2 Please indicate on which of the following you are Student Teaching Placement 2
reporting information:

Q3 Semester and year in which you are reporting this Fall 2018
experience:

Page 2: Classroom Specifics

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

One Inclusive class and two AP level classes

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

11th

Q6 Number of students in the classroom:

60

Page 3: Student Gender and Economic Status

Q7 Male students:

32

Q8 Female students:

28

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Q9 Free/Reduced Lunch students:

11

Q10 Not Free/Reduced Lunch students:

49

Page 4: Student Race/Ethnicity

Q11 American Indian or Alaskan Native: Respondent skipped this question

Q12 Asian or Pacific Islander:

Q13 Black, non-Hispanic

Q14 Hispanic:

Q15 Multiracial

Q16 Non-resident Alien: Respondent skipped this question

Q17 Race/ethnicity unknown: Respondent skipped this question

Q18 White, non-Hispanic:

38

Page 5: Special Needs

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Q19 Please indicate whether you worked with students Bilingual,

with the following special needs. Check all that apply.
Gifted/Talented,

504
Plan

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