Tutor Monthly Report - Group Form

This report will be sent to the Clearfield Office.

Please submit your reports by the 10th of each month.
Thank you for your time and effort!

(click here for a printable version of the form)

Month / Year
   
Tutor / Instructor Name #1
 
Tutor #1 Total Hours
for this Month Only
 
instruction
prep
travel
Tutor / Instructor Name #2
 
Tutor #2 Total Hours
for this Month Only
 
instruction
prep
travel
Meeting Day / Time
   
Meeting Place
 
MSLC Supervisor
 
 Leagh Anderson
 Sarah Travis
 Megan Belew
 Justine Kechison-Willett
 

Student Names and Hours

Name Hours Name Hours
1.  8.   
2.  9.   
3.  10. 
4.  11. 
5.  12. 
6.  13. 
7.  14. 

1. Which goals are you working on this month?
2. List specific steps/activities taken to achieve the goal(s)?
3. What goals, if any, were reached (and by whom, if individual)?
4. What materials were used (texts and reading)?
5. List any successes that you have had this month
6. List any problems you have encountered this month:
7. Are you satisfied with the overall progress of the group?
8. Additional Comments:

  

Last Revised: 2/8/2008


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