Tutor Reporting Form | Literacy Volunteers Of Rensselaer County

Literacy Volunteers Of Rensselaer County

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OLD Tutor Reporting Form (inactive)

Date*
MM slash DD slash YYYY
Reporting Month*
Year*
Tutor Information
Tutor's Name
First Last
Tutor's Home Phone
Tutor's Cell Phone
Tutor's Address*
Street Address City State ZIP Code
Student Information
Student's Name
First Last
Student's Home Phone
Student's Cell Phone
Student's Address*
Street Address City State ZIP Code
Match Status
Match Status
- Active
- Inactive
- Terminated
If Currently Inactive, Reason?
Duration of inactivity and expected restart date:
Termination Date
MM slash DD slash YYYY
Does the student want another tutor?
- Yes
- No
Do you want another student?
- Yes
- No
Comments (If Needed)
Employment Status
Employment Status as of 7/1 (Start of Current Program Year)
- Employed
- Unemployed < 1 Year
- Unemployed > 1 Year
- Not in labor market
- Retired
Date Job(s) Began
MM slash DD slash YYYY
Hours Per Week
Change In Employment Status
- No Change
- Obtained A Job
- Lost Job
- Change In Hours
Date Job(s) Began
MM slash DD slash YYYY
Hours Per Week
Change In Hours Per Week
Other Changes Affecting Family Income Or Needs
Goals For This Program Year
Goals change each program year. Past year goals are only relevant if not previously reported.
Before (As of 7/1)
- Obtain A Job
- Retain Job
- Improve Job
- Obtain GED
- Enter Post-Secondary Education
- Enter Training
- Obtain Citizenship Skills
- Increase Community Involvement
- Vote/Register To Vote
- Help With Children's Education
New (Since 7/1)
- Obtain A Job
- Retain Job
- Improve Job
- Obtain GED
- Enter Post-Secondary Education
- Enter Training
- Obtain Citizenship Skills
- Increase Community Involvement
- Vote/Register To Vote
- Help With Children's Education
Additional Goals
Additional Outcomes Achieved
Current number of children
(In school in the United States)
Pre-K
Elementary
Middle School
High School
Record of hours
Month
Prep Time
Total Time With Student
Travel Time
Instructional Strategies
What reading materials are being used?
What kind of writings have been done?
What LVA activities has the student participated in?
Other Comments/Student Accomplishments

From The LVORC Blog

2019-2020 Annual Report

We are proud to share this report of the achievements of Literacy Volunteers of Rensselaer County for 2019-2020. This report highlights some of our many accomplishments. Click to view.

LVORC Videos

Watch a video about Uncle Sam and a video about the Erie Canal produced by an English Language Learner. It's a great example of project-based learning! Or find out more about the policies for LVORC's learners: LVORC Admissions Policy

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