Monthly timesheet form for volunteer tutors to keep track of their teaching hours.

TUTOR REPORT FORM

Your Name*
First Last
Email
Tutor Status*
Please state the reason for this status:*
Student Name*
First Last
Number of hours you tutored this student*
For the month of*
Please share the DAY, TIME and LOCATION that you typically meet with your student*
Share some strengths you have observed in your student over the past month.*
Share some struggles your student has had over the past month.*
Which skills have you focused on this month?*
Which skills do you plan on working on during the next month?*
Has your student achieved any of the following goals this month? (You may select more than one option)
- Got a job / Got a better job
- Got a driver's license
- Became a U.S. citizen
- Registered to vote
- Other
If other, please list the goal(s) achieved below:*
Is there anything your student needs help with that falls outside of your literacy tutoring?
Do you need us to send you any new materials/resources?
- Yes
- No
If yes, what Erie County library branch would you like to pick them up from?*
Is there anything else you'd like to discuss with our staff?

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Contact
1 Lafayette Square, Buffalo, NY 14203
716.876.8991
info@literacybuffalo.org