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    Demographicsurvey

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    This document is a form for WSU education majors to report on the diversity of students they served during a field experience, practicum, or clinical practice. It requests information such as the student teacher's name and location, as well as estimates of the number of students in various demographic categories, including race/ethnicity, English language proficiency, socioeconomic status, and disability categories. The form is to be returned by a certain date to an unspecified address.

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    Demographicsurvey

    Uploaded by

    api-455488731
    18 views1 page
    This document is a form for WSU education majors to report on the diversity of students they served during a field experience, practicum, or clinical practice. It requests information such as the student teacher's name and location, as well as estimates of the number of students in various demographic categories, including race/ethnicity, English language proficiency, socioeconomic status, and disability categories. The form is to be returned by a certain date to an unspecified address.

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    demographicsurvey

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    This document is a form for WSU education majors to report on the diversity of students they served during a field experience, practicum, or clinical practice. It requests information such as the student teacher's name and location, as well as estimates of the number of students in various demographic categories, including race/ethnicity, English language proficiency, socioeconomic status, and disability categories. The form is to be returned by a certain date to an unspecified address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views1 page

    Demographicsurvey

    Uploaded by

    api-455488731
    This document is a form for WSU education majors to report on the diversity of students they served during a field experience, practicum, or clinical practice. It requests information such as the student teacher's name and location, as well as estimates of the number of students in various demographic categories, including race/ethnicity, English language proficiency, socioeconomic status, and disability categories. The form is to be returned by a certain date to an unspecified address.

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    Appendix K

    P-12 STUDENT DIVERSITY DEMOGRAPHICS


    OF STUDENTS SERVED
    BY WSU EDUCATION MAJORS

    Check one: Licensure Area/s: _____________________

    X Field Experience ________K-6__________________________

    Practicum A ____________________________________

    Clinical Practice ____________________________________

    Practicum B ____________________________________

    WSU Student’s Name Classroom Teacher’s Name


    Kate Lexvold Angela Lash
    School District School Name
    Rochester Public School District Washington Elementary School

    Please estimate the number of students Please specify the number of students with
    you served who are described by the Individual Education Programs (IEPs):
    following categories:
    ___ Autism Spectrum Disorder
    _1_ African-American ___ Blind-Visually Impaired
    ___ American Indian ___ Deaf-Blind
    _2_ Asian ___ Deaf and Hard of Hearing
    _2_ Hispanic ___ Developmental Cognitive Disabilities
    ___ Migrant _2_ Developmental Delay (Birth to Age 7)
    ___ Multi-Ethnic ___ Emotional/Behavioral Disorders
    _15_White ___ Learning Disabilities
    ___ Other Health Disabilities
    (includes Attention Deficit Disorders)
    ___ Gifted and Talented ___ Physically Impaired
    _1__Limited-English Proficiency ___ Traumatic Brain Injury
    ___ Title I (Reading/Math)

    Please return this form by __________ to


    _________________________________________.

    Address:
    ___________________________________________________________________.

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