Literacy Partners of Kewaunee County, Inc.

Submit Monthly Tutor Report

Tutors: Please fill out the following form and submit it each month per student.
Directions: Use your mouse or the Tab key to move from one field to another. Click the Submit Report button at the end of the form to submit the report when it is completed.
Note: Pressing the Enter key anywhere in the form will automatically submit the tutor report as it is.

Student Progress(Required)

Tutor Name:

Student Name:

Month:

Total Hours Spent in:

Tutoring: Preparation:

Goals Established:

We have completed up to:

Book/Lesson

I have noticed progress in:

Comments on student/sessions:

Goals(Only complete this section if the student completed one or more goals this month.)

Completed a Curriculum Textbook (title):
Acheived a Major Personal Goal:
Acheived a Minor Personal Goal:

Follow-up Information(Required)

Has the student or tutor had a change of address or phone?	If Yes, call Bob at (920) 845-2516
I would like advice from a resource person:

Tutoring Session Details(Required)

Session #	Day of Month	Preparation Hours	Tutoring Hours	Cancelled?	Cancel Reason
1
2
3
4
5
6
7
8
9
10
11
12

If tutoring is temporarily on hold, indicate the length of suspensions, reason, and restart date:

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