Monthly Report
Please complete and submit
this form the last week
of each month.
Thank you!
Tutor Name:
E-mail:
Year:
2007
2008
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Tutoring Location:
Total hours
Tutored:
Preparation
Time:
Learner's
Initials:
Materials Used
Book:
Lesson:
Goals
Achieved:
Materials Needed/Comments/Progress:
Quarterly
Progress Report
Please complete and submit
this form each quarter.
Sept. 30
Dec. 31
Mar. 31
June 30
Thank you!
Tutor Name:
E-mail:
Learner's Initials:
Year:
2007
2008
Quarter:
1st (Jan - Mar)
2nd (Apr - Jun)
3rd (Jul - Sep)
4th (Oct - Dec)
Tutoring Day/Time:
Tutoring Location:
Learning Plan Goals
Date
Goals Set:
Goals
:
Status:
New Goals
Date
Goals Set:
Goals:
Status:
Student Achievement
For each section below, please type in the box the goals that have been achieved
this
quarter.
Personal
Area 1 (of 8)
Improved self-esteem, increased confidence, improved vocabulary, write personal information, recognize days, months, use telephone book, read/write mail, fill in forms, read Bible/religious materials, surf the internet, read/write email, read/write name address, tell time.
Shopping/Money/Food
Area 2 (of 8)
Read cookbooks, read food ads/use coupons, read signs in supermarket, read labels on food products, know weights/measures, read mail order catalogues, make change, open bank account, write checks/use ATM, read child’s medical/shot record, read lease, negotiate for repairs, read real estate listings, read a home inspection report, buy a home/rent an apartment.
Role as a Citizen
Area 3 (of 8)
Read newspaper, write to a community leader(s), volunteer in community, access community services, get library card, know legal rights, register to vote, vote, read an election ballot.
Role as a Worker
Area 4 (of 8)
Read employment ads, identify job preference, fill out unemployment forms, find a better job, find employment, access job information, interview, read company rules, read pay stub, use technology, read manuals, read evaluations, learn new job skills, receive salary increase, receive promotion.
Health
Area 5 (of 8)
Find a doctor/dentist clinic, read medication labels, complete medical forms, complete insurance forms, follow medical directions, read health-related materials.
Family Education
Area 6 (of 8)
Graduate from literacy program, enter ABE class, use dictionary/encyclopedia, read to a child, help child with homework, join PTA/PTO, participate in school activity, read TV/movie schedule, read rules to games, read school notices/grades, enter education program.
Transportation
Area 7 (of 8)
Read driver’s manual, purchase insurance, obtain a driver’s license, purchase a car, read a map/traffic signs.
Book Series/Level Increase
Area 8 (of 8)
Finish a workbook series, increase grade level, other advancements.
