Form Center

2. This form is to be used only by Read Up! volunteer tutors. 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 page.
   
   Please complete the following information. Thank you!
4. Tutor's First Name*
5. Tutor's Last Name*
7. Learner's First Name
8. Learner's Last Name
10. Are you comfortable with your student? Is it a good match?

    1. Yes
    2. No
12. Has your student given adequate notice for late or canceled meetings?

    1. Yes
    2. No
14. Does your student do his/her homework?

    1. Yes
    2. No
16. Do you feel that you started on the right level with the student?

    1. Yes
    2. No
18. Are you finding materials that are the appropriate ones for the student?

    1. Yes
    2. No
20. Have you been able to develop lesson plans for each week and complete them successfully?

    1. Yes
    2. No
22. Are you getting your monthly report in on time?

    1. Yes
    2. No
23. Please explain your "No" answers in the box.
25. What are the three main goals your learner is working towards achieving?
    For example: share a book with children, write a resume, get a driver's license.
27. What can we help you with?
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field