Equitable Access to High-Quality Instructional Materials in K-5 Science for all Brown County Students

Classroom Demographics Survey

If you are a Brown County educators that has received a mySci kit sponsored by Brown County United Way, we ask that you complete the following survey to share data about the students in your classroom benefiting from this program. The survey is anonymous and will not ask for any personal student data.

School District

School

Grade

Total Number of Students

Student Gender Data

Number of Female Students

Number of Male Students

Number of Non-Binary Students

Student Race Data

Number of American Indian or Alaskan Native Students

Number of Asian / Pacific Islander Students

Number of Black / African American Students

Number of Latinx / Hispanic Students

Number of Other / Multiple Race Students

Student Poverty Data

Number of Students Receiving Free / Reduced Lunch

Other Equity & Access Student Data

Number of Students w/ IEP or other accommodations

Number of Students w/ Primary Language Other Than English

Please share other unique characteristics of your class that you are proud of and want to celebrate.

Please do not include any names or other personally identifiable information.

Einstein Project is a 501(c)(3) non-profit STEM resource center driven to empower educators and inspire learners.