Winter 2017 Personal Tutor Update
Please complete this form considering your tutoring experiences during the period of January 2017 through April 2017. Your feedback is very much appreciated! Please submit your response(s) BY May 15th, 2017. Thank you ~ Your programming team (Alison, Katie, Liz, and Kathryn)
Your name *
(First, Last)
Your answer
If you've had a change in your contact information, update us here:
Your answer
Your Learner's Name *
(First, Last). If you tutor more than one learner, please complete a separate form for each learner.
Your answer
In the 16 weeks of Winter Semester (Jan.-April), approximately how many hours have you met with your learner? *
Your answer
In the 16 weeks of Winter Semester (Jan.-April), approximately how many hours have you spent lesson planning? *
Your answer
Please list or describe the biggest achievement(s) you and your learner have experienced in the last quarter.
Remember: this can be as small as your learner regularly attending tutoring or as large as your learner achieving one of their primary goals.
Your answer
Please list or describe the biggest challenges you and your learner have experienced in the last quarter.
Your answer
Please indicate the status of your learner's Skills First goals. *
Choose Not Applicable for any goals that you are not currently working on or have not completed.
Not Applicable
Current
Accomplished
Improve speaking/listening
Improve vocabulary
Improve reading/writing
Improve math
Understand US culture better
Increase confidence
Please indicate the status of your learner's Education Now goals. *
Choose Not Applicable for any goals that you are not currently working on or have not completed.
Not Applicable
Current
Accomplished
Help children with homework
Take the TOEFL
Take the GED
Take the Accuplacer
Go to a U.S. College
Please indicate the status of your learner's Work Ready goals. *
Choose Not Applicable for any goals that you are not currently working on or have not completed.
Not Applicable
Current
Accomplished
Get a job/new job
Do better at current job
Fill out forms
Write resumes
Interview practice
If you have administered the Qualitative Reading Inventory (QRI) during this semester, please share your results. If you would like to know more about the QRI, please ask program staff or your mentor.
Your answer
Please provide us with any additional information or feedback pertaining to your learner or your tutoring experience that you'd like to share.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Washtenaw Literacy. Report Abuse - Terms of Service - Additional Terms