English Forward supported programs monthly report
Please fill this out at the end of each month to keep us updated on your programs and participants!

**Type 0 or - if there is no response or response is the same as last month. If you are unsure, make an estimate. Thank you!
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Your name *
Your email *
Your phone number *
Program name *
Location *
Do you use the English Forward curriculum for instruction? *

When is your class held? Days/times

 *

Are there any changes to your class listing?

            Days/times of classes

            Address

            Phone #

            Registration dates etc.

 *

Total number of students who have been in your class this term-even if they only came once.

 *

Number of new students this term (those who came for the 1st time)

 *

Average number of students in your class (your core group)

 *

How many of your students are in an English class for the first time? (never attended any other English classes)

 *

How many students got a job this month?

 *

How many students kept an existing job?

 *

How many students transferred to a higher-level/or other class (RACC, Literacy Council, your own program?)

 *

How many students accomplished any other goals? (obtained a driver’s license, citizenship, promotion etc.)

 *

Number of students in each age bracket: 18-34

 *
Number of students in each age bracket: 35-64 *
Number of students in each age bracket: 65+ *
Number of male students *
Number of female students *
Number of non-binary students *
Number of  Asian/Pacific Islander students in class *
Number of American Indian students in class
 *
Number of  Black/African American students in class *
Number of  Hispanic/Latino students in class *
Number of White students in class *
Number of Unknown/different race in class *

Number of students with income levels/economic status in class: Below poverty level

 *
Number of students with income levels/economic status in class:  At or near poverty level
 *
Number of students with income levels/economic status in class: Middle income *
Number of students with income levels/economic status in class:  Upper income
 *

Residents: (#) City of Reading area

 *

Residents: (#) All other residents

 *
Month and year for this report *
Update me on anything coming up: new things going on, registration dates, any questions/comments/concerns etc.
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