Monthly Attendance & Progress Report

All entries must be for the same month—Please submit another form for another month!
Please complete all of the information and submit by the 4th of the following month.

Month/Year: Tutor: Tutoring Site: Learner's Name Learner's ID# Focus (Check all that apply)

Please use the following formats when submitting your *tutoring* hours. Day: 16, Hours: 1.25  

Day Hours Day Hours Day Hours Day Hours Day Hours Day Hours
Day Hours Day Hours Day Hours Day Hours Day Hours Day Hours

Please include your total estimated monthly *Preparation* Hours (include driving time): Hours this month spent on other volunteer activities (workshops, committee meetings, program events, etc.) What materials are being used with your adult learner? Do you need assistance? If yes, how should we contact you? Comments by Tutor Comments by Adult Learner If learner has left program, check the reason s/he left:

Goals

Achievement/Progress
*See Note
Family
Employment
Citizenship

Please note: Any learner achievements/progress gained for the current month only (reassessment: TABE, OR CASAS, went up a level, enrolled in ABE classes, completed a GED test; read a book or newspaper, read to children or helped with their homework, finished a textbook, attended school related meetings or classes, wrote to family or friends, wrote a story or poem, read and used recipe, read and understood directions for appliances, read product label and safety warnings, help-wanted ads, filled out an application, medical or other form; used written information on the job, used a public agency or library, became a citizen, is more cofident speaking English, etc.) need to be reported.

(This information is important for compiling the periodic reports required by state and national agencies. It is confidential and used for statistical purposes only.)




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