Monthly Tutor Report Form
 
Please submit reports by the 10th of each month
Tutor Name: Tutor Email:
Learner Name:    
Month: Year:
Hours of tutoring this month:
Hours spent in preparation
Materials and activities completed this month:  Please include all materials/activities used.
For a structured series, list title, level and lesson(s).
(For example, Laubach 2, lessons 2-3, utility bills, notes from teacher, Press Gazette classified, etc)

Goals achieved this month
Please note goals completed only; give details in comment section at bottom of page.
Curricular Goals Achieved   Employment Goals Achieved
 
Laubach Skill books Level  
  Get a job
 
Challenger series Level  
  Get a job promotion/raise
 
Voyager series Level  
  Get a job in career field
 
Focus on Phonics series Level  
  Complete on-the-job training
 
Patterns In Spelling series Level  
  Pass work-related literacy/skills test
 
Power English series Level  
  Prepare a resume for job interview
 
Specific Skills series
  Write work-related reports
 
Side by Side series Level  
  Get a commercial drivers license
 

Foundations or
Expressways series

 Level  
    Other:
 
Number Power or other math series
     
 
Citizenship texts
   

Parent-Family Literacy Goals Achieved
 
Pre-GED
or GED texts
  Read about pregnancy/parenting/child development
 
English, Yes! Level  
  Read books to children
 
Azar Level
  Talk English to children in home
Mavis Beacon keyboarding software   Attend parent-teacher conferences
Use dictionary effectively   Help children with homework

Master cursive writing

   Communicate with school
Complete personal reading goal   Chaperone a school field trip or party
 
Master an arithmetic function
Addition Subtraction Multiplication
Division Fractions Measurement
    Other:
Read and summarize a story (newspaper article, short story, novel)      
Write a story/essay outstanding for student's level or ability.    

Social/Community Goals Achieved
Improve study habits   Pass citizenship test / become a U.S. citizen
  Other:   Vote for the first time
    Get a library card/frequents the library

Academic/Educational Goals Achieved

   Participate in a book discussion
  Pass a GED subject test    Participate in community activities
Earn GED or HSED   Purchase a home
Take college entrance exam (ACT, SAT)   Open a business
Pass TOEFL   Speak/read aloud in front of a group
Enter a higher education or vocational institution   Read newspaper in English regularly
Complete a college level course      Other:
Learn keyboarding      
Learn computer skills    

Life Skill Goals Achieved
Improve study habits     Complete forms  
Use dictionary effectively     Read ads 
Master cursive writing   Make a grocery list
Read/summarize a story   Prepare a recipe
Write a story/essay outstanding for student   Order from menu
Complete personal reading goal     Read labels
Learn to use calculator   Write letters/notes
  Other:   Correct use of money/change
      Open a bank or checking account / write checks
      Use a telephone book
  Please check only goals that     Read schedules  
  your student has achieved this month.   Read a map/follow directions
      Learn to ride the bus
  Be sure to set new goals, too!   Get temps/pass written test
      Get drivers license/pass road test
      Learn basic first aid
        Other:
 
I would like advice from the staff at Literacy Green Bay

YES

NO
 
Comments on Student/Sessions and/or Learner Life Changes
(For example:  new address, new phone number, new job, job promotion, divorce, illness, extended travel, etc.)

Literacy Green Bay    424 S Monroe Ave.    Green Bay, WI  54301


Revised website made possible by an AT&T Excelerator Grant

© 2007 Literacy Green Bay  

 Voice:   920.435.2474    Fax:  920.435.2203   info@literacygreenbay.org