Tutor Reporting Form – Albany | Literacy Volunteers Of Rensselaer County

Tutor Information

Tutor Name*

First Last

Tutor Email*

Tutor Information Update

Are there any changes to the tutor’s name, address, email address, home phone number, or cell phone number?

New/Updated Information

Student's Name*

First Last

Student Information Update

Are there any changes to the student’s name, address, email address, home phone number, or cell phone number?

New/Updated Information

Date this report is made*

Reporting for this Month

Reporting for this Year

Tutor preparation time (hours)

Total Time with Student (hours)

Tutor travel time (hours)

What reading materials are being used?

What writings have been done?

What LVORC activities has the student participated in?

Additional comments or student accomplishments.

Are there any changes to the student’s employment status?

Please check appropriate box and use field below to add additional information

Additional Information

Are there any changes to the student’s learning goals, or life goals?

Program goal changes