Achievement Log
Instructions-1/2019
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. *Please contact our office if you need these 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.
Date
MM
/
DD
/
YYYY
Learner Name *
Your answer
Learner ID
Your answer
Tutor Name *
Your answer
Tutor ID
Your answer
Quarter for which you are reporting *
Required
Please mark each goal that you worked on with your learner during the quarter.
*Please remember to choose three health literacy goals per year.
**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
Your answer
COMMUNITY
Community Member
Consumer
Additional Achievements - Community
Your answer
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
Your answer
EMPLOYMENT & WORKPLACE LITERACY
Worker
Job Seeker
Additional Achievements - Employment & Workplace
Your answer
DIGITAL LITERACY
Digital Literacy
Additional Achievements - Digital Literacy
Your answer
Submit
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