400 Civic Center ~ Tulsa, Oklahoma 74103 (918) 596-7977
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Monthly Report

Tutor's Name:
Tutor's Email:
Student Name:
Report for the month of:

Hours spent tutoring:		Meeting Place:
Hours spent preparing:		Meeting Time:
Hours spent traveling:		Meeting Day:

*If you have multiple students, please fill out a separate form for each student.

Please check or list all long-term or short-term goals that your student has set this month:

	Read the newspaper	Finish reading a book (list):
	Read to/with children	Finish a workbook (list):
	Improve spelling skills	Improve English skills
	Get a (better) job	Pass Test (please select): Citizenship GED TOEFL
Other: Other

Please check or list all long-term or short-term goals that your student has achieved this month:

	Read the newspaper	Finish reading a book (list):
	Read to/with children	Finish a workbook (list):
	Improve spelling skills	Improve English skills
	Get a (better) job	Pass Test (please select): Citizenship GED TOEFL
Other: Other

Materials, resources or assistance you need from the Literacy Office:
Materials

List any changes (address, phone numbers, days/times of tutoring sessions): Changes

If you would like the L.D. Liaison or the ESL Literacy Specialist to observe a tutoring session and provide you with feedback and/or additional suggestions, please contact the literacy office at 596-7958.

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