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)

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.)

Scroll to bottom of page to submit.
Goals Achieved This Month
Please note goals completed for the first time only; give details in goal comment section below.
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
 
Master an arithmetic function
Addition Subtraction Multiplication
Division Fractions Measurement
  Attend parent-teacher conferences
Read and summarize a story (newspaper article, short story, novel)   Help children with homework

Write a story/essay outstanding for student's level or ability.

   Communicate with school
Improve study habits   Chaperone a school field trip or party
  Other:     Other:
         
  Academic/Educational Goals Achieved    

Social/Community Goals Achieved
  Pass a GED subject test    Pass citizenship test / become a U.S. citizen
Earn GED or HSED   Vote for the first time
Take college entrance exam (ACT, SAT)   Get a library card/frequents the library

Pass TOEFL   Participate in a book discussion
Enter a higher education or vocational institution   Participate in community activities
Complete a college level course   Purchase a home
Learn keyboarding   Open a business
Learn computer skills   Speak/read aloud in front of a group
Improve study habits   Read newspaper in English regularly
Use dictionary effectively      Other:
Master cursive writing      
Complete personal reading goal    

Life Skill Goals Achieved
Learn to use calculator     Complete forms  
  Other:     Read ads 
      Make a grocery list
      Prepare a recipe
 

  Please check only the goals that

   Order from menu
 

 your student has achieved for the first time.

     Read labels
      Write letters/notes
 

 

   Correct use of money/change
 

 

   Open a bank or checking account / write checks
 

 

   Use a telephone book
  Comments on Goals Achieved     Read schedules  
    Read a map/follow directions
    Learn to ride the bus
    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

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