Tutors, please submit a report for each of your learners for each month.

Tutor's Name:
Tutor's E-mail:
Learner's Name:
Report Period:

Total hours spent:
Tutoring:
Preparing:

Learner's Goals

These lists may contain some of the goals toward which your learner is working. Please select pertinent goals from the list, but add any goals that do not appear using the space provided.

Curriculum Goals:
Major

Minor

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Additional curriculum goal(s):

Personal Goals:
Major

Minor

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Additional personal goal(s):

We are working on: (Books/skills)

I have noticed progress in:

Anecdotes and/or Comments on Tutor sessions:

Any problems or difficulties:

Fill in any that apply...
Tutoring will continue.
Tutoring ended on:
Tutoring on hold, will restart:
I would like advice. Please contact me at:

Goals Completed This Month
Major Curriculum Goal:
Minor Curriculum Goal:
Major Personal Goal:
Minor Personal Goal:

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