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   Tutor/Learner Monthly report
Learner's Name:
Tutor's Name:
Tutoring Site:
Central Park Library
Mission Library
Other
Number of Sessions:
Please select
0
1
2
3
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5
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Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
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2028
Please round times to the nearest half-hour. Click
here
to view a sample report.
Week 1
Week 2
Week 3
Week 4
Week 5
Tutoring Time
Learner Homework
Tutor Prep & Commute
What goals have you worked on this month?
Have any goals been met? Have any new goals been set?
What materials and methods have you used?
Any other successes (big or small) or challenges...
Learner/Tutor grant permission to share successes in print/online. Names will be published as first names and last initials.
Email Address (if you need a copy of the report mailed to yourself)
Request follow-up from staff
Change in tutoring status: (please specify)
New contact information: (please specify)
You are welcome to send to Read Santa Clara a sample of your learners writing!