Winter 2017 Learner Update
This form is for learners who are working with a personal tutor. Please complete the following questions and submit to Washtenaw Literacy by May 15, 2017. Thank you!
Your First and Last Name *
Your answer
Your E-Mail Address
Your answer
Your Phone Number *
Your answer
Your Tutor's Name *
Your answer
Which type of learner are you? *
Please check all the accomplishments that apply to you: *
Required
Please check all the goals you are working on right now.
Skills First Goals:
Please check all the goals you are working on right now.
Education Now Goals:
Please check all the goals you are working on right now.
Work Ready Goals:
How do you feel about speaking and listening in English? *
Select the number that best describes how you feel.
Bad
Great
How do you feel about reading and writing in English? *
Select the number that best describes how you feel.
Bad
Great
How do you feel about math? *
Select the number that best describes how you feel.
Bad
Great
How do you feel about learning in general? *
Select the number that best describes how you feel.
Bad
Great
Would you like staff to call you to discuss your tutoring? Please let us know if you would like Washtenaw Literacy to contact you.
Anything else you'd like to share?
Your answer
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