Online Monthly Report

* Date of report:

Report for the Month of:

Year of Report:

Tutor:

Learner ID# or First Name:

Please list hours in ½ hour increments

Lesson Preparation:

Tutoring Session:

Travel Time:

Other hours (please list hours for all that apply):

In-service:

Office Volunteer:

Tutor Training Workshop:

Friends of R/OC Activity (specify)

Specify Activity

Quarterly Tutor Meeting

Phone Calls

Community Event (specify):

Other/Not Listed (specify):

Specify Event:

Specify Other:

Lesson Focus

Current Specific Goal (Remember: goals must be Specific, Measurable, Action-based, Realistic and Time-bound):

Activities/techniques used to help reach this goal:

Materials:

Challenges:

Successes! (big or small):

Updates (provide details):

Address:

Phone:

* E-mail:

Status (vacation/illness/etc):

Follow up call requested?

		Yes
		No

Best time to call:

Navigation