Achievement Log
Online Form Location: https://literacydupage.org/tutor/ > Click on "Consolidated Achievement Log"
Email address *
Instructions FY21
1. Complete one form for each learner.
2. Each learner in a group must have a separate individual achievement log.
3. Locate and input your Literacy DuPage Tutor and Learner ID numbers.
4. Select the Quarter or Quarters for which you are reporting.
5. Choose the achievements that best reflect your time with your student.
6. *PRESS SUBMIT! You will see a confirmation screen.
7. If you have additional learners, click the blue link on the confirmation screen to fill out a new form.
8. Please remember to choose three health literacy goals per year.

Contact Diana J. Heppner at dheppner@literacydupage.org or (630) 942-5215 with questions.
Date *
MM
/
DD
/
YYYY
Learner Name *
Learner ID
Tutor Name *
Tutor ID
Fiscal Year (FY) for which you are reporting: *
Required
Quarter for which you are reporting *
Required
Please mark each goal that you worked on with your learner during the quarter.

**You may enter additional achievements at the end of each major goal, i.e. Family, Community, etc.

FAMILY
Life Skill/Daily Living
Parenting
Finances
Additional Achievements - Family
COMMUNITY
Community Member (Please limit to top 10 skills worked on this quarter)
Consumer
Additional Achievements - Community
HEALTH
Please remember to work on 3-4 goals per year related to health or that can be applicable in a healthcare setting.
Participation
Doctor's Office
Healthcare Facilities
Prescription Medication
Preventative Care
Additional Achievements - Health
EMPLOYMENT & WORKPLACE LITERACY
Worker (Please limit to top 5 skills worked on this quarter)
Job Seeker
Additional Achievements - Employment & Workplace
DIGITAL LITERACY
Digital Literacy
Additional Achievements - Digital Literacy
A copy of your responses will be emailed to the address you provided.
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