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2. This form is to be used only by Read Up! volunteer tutors to report their monthly hours. The information on the form will be emailed directly to Read Up! staff.
   Privacy and other policies concerning the information gathered through the use of this form are detailed on the Web Policies and Disclaimers page.
   
   Please complete and send this form by the 5th of each month.
4. Month and Year for this Report*
   Month and Year for this Report
5. Tutoring Site and Day, Time of Meetings
   Example: Nevada County Library, Wednesdays 2pm
9. Tutor Information
11. First Name*
12. Last Name*
14. Please enter any change in the tutor's phone, email or address since last month
18. Learner Information
20. First Name*
21. Last Name*
23. Please enter any change in the learner's phone, email or address since last month
25. Texts Used
    Examples: Math Sense, Voyager & Voyager Workbook, Making a Budget, GED Prep, Social Studies
29. For the following five questions, please show the total hours spent in each work category for the entire month. Please round to 2 decimal places, i.e. ".25",".50",".75". So .25 is 15 minutes after the hour, .50 is 30 minutes after the hour, and .75 is 45 minutes after the hour.
31. Instruction Hours
32. Learner Homework Hours
33. Tutor Preparation Hours
35. Tutor Travel Hours
36. Other Hours
38. Please explain what the "Other Hours" are for
    Example: Phone call to staff for advice/suggestions.
42. If you had no meetings this month.
44. Reason for No Meetings
45. When do you plan to resume meeting?
49. Progress
51. Describe your students progress in the program
    Examples:
    1) Math Sense, pp. 7 through 8 complete, reviewing percentages.
    [Learner] is being encouraged to move through the math slowly to improve accuracy. This approach will be necessary when she takes the GED exam.
    
    2) Voyager Workbook, Lessons 9 through12 complete. Orally [Learner] made up sentences using new vocabulary. Making a Budget, pp. 5 through 8 complete, oral reading and writing exercise.
53. If you have met any new goals this month, please identify goal letter and number from the Goal Code Sheet. If no goals completed, leave blank.
    Examples:
    1) "2c" (No narrative of goal needed)
    2) "1a"
55. If you have set any new goals this month, please identify goal letter and number from the Goal Code Sheet. If no new goals, leave blank.
    Examples:
    1) "3d"
    2) "3f"
57. Other comments from Tutor or Learner
    Examples:
    1) "Student is not always prepared for a meeting"
    2) "Student is always positive"
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field