Year
2024-2025 SEP Teacher and Student Demographics Form
Thank you for taking a few minutes to help us collect demographic information to ensure we are moving towards our goals and to help us report outcomes to funders.
Teacher Information
First Name
Last Name
How many years have you been a teacher?
What gender do you identify with?
Female
Male
Non-binary
Prefer not to answer
My option is not listed above, I prefer:
What racial/ethnic group do you primarily identify with? (Select all that apply)
Asian/Asian American
Black/African American
Black/African (recent immigrant)
Hispanic American/Latino(a)
Native Alaskan
Native American
Pacific Islander
White
My option is not listed above, I prefer:
What type of school do you work at?
Private or Independent
Public
Other (please specify)
If you selected "Other" above, please specify
What grade level do you currently teach?
Middle School
High School
Other (please specify)
If you selected "Other" above, please specify
Which of these courses do you currently teach? (Select all that apply)
AP
IB
General Bio or Life Science
Honors Bio
Biotech
Other (please specify)
If you selected "Other" above, please specify
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Overall Student Demographics
Estimate the OVERALL percentage of your students who receive free or reduced lunch. (Note: It's OK to base this off your overall school demographics).
0-10%
10-20%
20-30%
30-40%
40-50%
50-60%
60-70%
70-80%
80-90%
Over 90%
Not sure/Don't know (please explain)
If you selected "Not sure/Don't know", please explain
Estimate the OVERALL percentage of your students who qualify as an underrepresented minority in STEM as defined by the NSF (Hispanic or Latino/a, African American/Black, American Indian or Alaskan Native )?
0-10%
10-20%
20-30%
30-40%
40-50%
50-60%
60-70%
70-80%
80-90%
Over 90%
Not sure/Don't know (please explain)
If you selected "Not sure/Don't know", please explain
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Specific Student Demographics
Enter the approximate number of Asian/Asian American students who will use SEP materials this school year
Asian/Asian American Male
Asian/Asian American Female
Asian/Asian American Non-Binary/Other
Enter the approximate number of Black/African American students who will use SEP materials this school year
Black/African American Male
Black/African American Female
Black/African American Non-Binary/Other
Enter the approximate number of Black/African Immigrant students who will use SEP materials this school year
Black/African Immigrant Male
Black/African Immigrant Female
Black/African Immigrant Non-Binary/Other
Enter the approximate number of Hispanic American/Latino(a) will use SEP materials this school year
Hispanic American/Latino(a) Male
Hispanic American/Latino(a) Female
Hispanic American/Latino(a) Non-Binary/Other
Enter the approximate number of Native Alaskan students will use SEP materials this school year
Native Alaskan Male
Native Alaskan Female
Native Alaskan Non-Binary/Other
Enter the approximate number of Native American students will use SEP materials this school year
Native American Male
Native American Female
Native American Non-Binary/Other
Enter the approximate number of Pacific Islander students will use SEP materials this school year
Pacific Islander Male
Pacific Islander Female
Pacific Islander Non-Binary/Other
Enter the approximate number of white students will use SEP materials this school year
White Male
White Female
White Non-Binary/Other
Enter the approximate number of multiracial students will use SEP materials this school year
Multiracial Male
Multiracial Female
Multiracial Non-Binary/Other
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SEP Professional Indicators
SEP has contributed to my professional growth.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has helped me be more effective in teaching science.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has helped me incorporate more molecular biology tools and techniques in my classes.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has strengthened my own science content knowledge.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has strengthened the science content knowledge of my students.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has helped my students become more interested in science careers.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has helped my students understand the importance and value of science.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP has helped me support and engage students underrepresented in science.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
SEP provides a valuable professional community.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
I would recommend SEP to a colleague.
strongly agree
agree
neither agree or disagree
disagree
strongly disagree
Optional: If you are willing to provide a brief quote that we can use in conjunction with your name about the impact SEP has had on you and your students, please do so here. Quotes are so helpful for our marketing materials as well as our grant writing.
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