Literacy Council Monthly Tutor Report Entry Form
Reporting Year and Month
2017 - 01
2017 - 02
2017 - 03
2017 - 04
2017 - 05
2017 - 06
2017 - 07
2017 - 08
2017 - 09
2017 - 10
2017 - 11
2017 - 12
Tutor and Student identification Section
Tutor's First Name
Tutor's Last Name
Student's First Name
Student's Last Name
Where do you meet your student?
Brooklyn Park Library
Eastport/Annapolis Neck Library
Maryland City at Russett Library
Mountain Road Library
North County/Glen Burnie Library
West County/Odenton Library
Riviera Beach Library
Severna Park Library
South County/Deale Library
Head Start at Shady Side
Light House Shelter
St. Mary's Chuch
Jennifer Road Correctional Facility
Ordnance Road Detention Center
Waxter Youth Facility
Lessons and Progress Section
Please round to nearest .25 hour
Hours of preparation and travel
Hours volunteered (not related to tutoring)
Please check the Laubach book level you are currently using. If you are using different materials (e.g. driver's ed materials, Able books), check Other and indicate what you are using.
Laubach Way to Reading Level:
Laubach Way to English Level
Last Lesson Completed
What supplementary materials are being used?
Focus on Phonics
Student Goals Section
Please provide a comment listing any goals your student has achieved.
- got a job or a better job
- improved employability skills
- got a GED or other diploma
- entered other education or training
- improved score on standardized test
- advanced level in curriculum series
- obtained citizenship
- registered to vote or been able to vote
- obtained a driver's license
- increased involvement in community
- increased involvement in child's education
- attained consumer skills
- attained wellness and healthy lifestyle
Or, please list any personal goal that the student has attained.
Share Comments Section
Please share any comments, details or observations here.
Do we have your student's permission to announce this month's achievements in the next newsletter?
How can we help you?
How are things going? What do you need to make you more effective?
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