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  Monthly Tutor Report Form


Please submit reports by the 7th of each month.
Tutor Name: Tutor email:
Learner Name:    
Month:   Year:
Place/day/time of most tutoring sessions:
Hours of tutoring this month:
Hours spent in preparation:
Explain each goal in the space provided below.
Goals Achieved THIS MONTH ONLY

Family/Self:
Met a health/wellness goal
Met a goal involving children's education
Met a communication/pronunciation goal
Met a reading/writing goal

Work/Education:
Met a work-based goal
Entered a training program
Passed a standardized test (GED, TOEFL, etc.)
Met an educational goal

Self within Community:
Met a citizenship/residency goal
Acquired library card, driver's license, etc.
Participated in government (registered to vote, voted, etc.)
Participated in community activity or volunteer work

Other goals achieved this month
Goal:

Goal:

New goals set

Family/Self:
Meet a health/wellness goal
Meet a goal involving children's education
Meet a communication/pronunciation goal
Meet a reading/writing goal

Work/Education:
Meet a work-based goal
Enter a training program
Pass a standardized test (GED, TOEFL, etc.)
Meet an educational goal

Self within Community:
Meet a citizenship/residency goal
Acquire library card, driver's license, etc.
Participate in government (registered to vote, voted, etc.)
Participate in community activity or volunteer work

Other new goals set
Goal:

Goal:

 
Explanation of Goals Achieved this Month:

Learner life changes (For example, new address, new phone number, new job, job promotion, divorce, illness, extended travel):

Materials and activities used this month: Please include all materials/activites used. For a structured series, list title, level, and lesson(s). (For example, Lifeprints 2, lessons 2-3, utility bills, notes from child's teacher, Boston Globe classifieds.)


 

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