WPALP Tutor Hours FY 2010-2011 Survey

1. Wayne Pike Adult Literacy Program - Monthly Tutor Hours Update

Please START A NEW SURVEY EACH MONTH with all tutoring, prep time and mileage.

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1. Please complete entire form each time you send us your information.

Please complete entire form each time you send us your information. Month and Year
Tutor Name
Student Name (can initial last name)

2. Fill in the dates you met with your student this month

Fill in the dates you met with your student this month Week 1
week 2
Week 3
Week 4
Week 5

3. Please fill in your total volunteer hours and mileage for this month. Include all Professional Development hours for the month. (You may round up by 15 minutes)

Please fill in your total volunteer hours and mileage for this month. Include all Professional Development hours for the month. (You may round up by 15 minutes) Instructional Hours
Preparation Hours
Professional Development Hours
Travel Hours
Travel Miles

4. Please check any accomplishments your student achieved this month.

Please check any accomplishments your student achieved this month. Used the library

Read street, traffic or other signs

Went shopping alone

Volunteered

Opened a bank account

Read a bank statement

Used the ATM machine

Wrote checks

Please type any other information you would like to share about your student's accomplishments.

5. Please continue to check all accomplishments.

Please continue to check all accomplishments. Learned more site words

Improved spelling

Joined other Educational Program

Studied for Government

Filled out a job application

Entered employment

Retained employment

Obtained GED

Please type any other information you would like to share about your student's accomplishments.

6. Please continue to check student's achievements.

Please continue to check student's achievements. Improved confidence

Improved life skills

Played a game

Worked on a computer

Read Mail

Read Newspaper

Read stories / articles

Read a book

Read for pleasure

Please type any other information you would like to share about your student's accomplishments.

7. Check all student accomplishments for this month.

Check all student accomplishments for this month. Improved speaking skills

Improved pronunciation

Understood English better

Used a telelphone

Spoke to a new person

Expanded vocabulary

Wrote a letter or postcard

Wrote name, address amd phone number

Completed forms or resumes

Wrote more at home, work or school

Wrote a story or essay

Took phone messages

Please type any other information you would like to share about your student's accomplishments.

WPALP Tutor Hours FY 2010-2011Exit this survey >>

1. Wayne Pike Adult Literacy Program - Monthly Tutor Hours Update

*1. Please complete entire form each time you send us your information.

2. Fill in the dates you met with your student this month

3. Please fill in your total volunteer hours and mileage for this month. Include all Professional Development hours for the month. (You may round up by 15 minutes)

4. Please check any accomplishments your student achieved this month.

5. Please continue to check all accomplishments.

6. Please continue to check student's achievements.

7. Check all student accomplishments for this month.

WPALP Tutor Hours FY 2010-2011
Exit this survey >>

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1. Please complete entire form each time you send us your information.