Form: NLU EDL EDD: Internship District Profile

Owner: Educational Leadership <edlprogram>
Owner's Email: vgunther@nl.edu
Dataset: EDD Internship District Profile
EDIT: Y, VIEW: N, REQR: N
1
First Name
EDIT: Y, VIEW: N, REQR: N
2
Last Name
EDIT: Y, VIEW: N, REQR: N
3
Your NLU ID Number (for example N00012345)
EDIT: Y, VIEW: N, REQR: N
4
Internship Supervisor's (superintendent's) FIRST NAME
EDIT: Y, VIEW: N, REQR: N
5
Internship Supervisor's (superintendent's) LAST NAME
EDIT: Y, VIEW: N, REQR: N
6
Internship Supervisor's (superintendent's) TITLE
EDIT: Y, VIEW: N, REQR: N
7
Internship Supervisor's (superintendent's) DISTRICT
EDIT: Y, VIEW: N, REQR: N
8
Enter question here
K-12
Elementary only
Elementary and Middle
Middle only
Middle and High School
High School only
EDIT: Y, VIEW: N, REQR: N
9
Internship Supervisor's (superintendent's) EMAIL ADDRESS
EDIT: Y, VIEW: N, REQR: N
10
Internship Supervisor's (superintendent's) OFFICE MAILING ADDRESS (Street, City, State Zip)
EDIT: Y, VIEW: N, REQR: N
11
How many years has the internship supervisor been in his or her CURRENT position?
Less than 1
1-3
4+
EDIT: Y, VIEW: N, REQR: N
12
Internship Supervisor's Highest Degree
EdD or PhD
Masters and/or Bachelors
EDIT: Y, VIEW: N, REQR: N
13
District Size (student population)
Less than 1,000
1,000 to 5,000
5,000 to 10,000
10,000+
EDIT: Y, VIEW: N, REQR: N
14
Percentage of Free/Reduced Price Lunch Students in Entire District (Poverty Indicator)
Less than 10%
11% to 25%
26% to 50%
51% to 75%
More than 75%
EDIT: Y, VIEW: N, REQR: N
15
Percentage of Racial/Ethnic Minority Students in Entire District
Less than 10%
11% to 25%
26% to 50%
51% to 75%
More than 75%
EDIT: Y, VIEW: N, REQR: N
16
Percentage of English Language Learner Students in Entire District
Less than 10%
11% to 25%
26% to 50%
51% to 75%
More than 75%
EDIT: Y, VIEW: N, REQR: N
17
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