Thank you for completing the progress report form.

Fill out the Level 3 report if your student(s) have been with Ethos for 3-4 years. If you have any questions, contact the office.

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1. Tutor Name (Required.)

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2. Your Student's Name(s) (Required.)

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3. Date of this Report - Reports are due at the end of each month. (Required.)

Date

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4. For what month are you reporting? (please use a new survey for each month) (Required.)

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5. Please report the time you donated this month? Enter numerals, not words.   Please enter whole numbers only. (Required.)

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6. If you've been recently matched, have you returned the Getting to Know You and Goal Setting documents to the office?

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7. If you've answered no to #6, please explain why.

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8. Did your student(s) come to your lessons? (Required.)

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9. If you answered sometimes or no to question #7, do you know why your student(s) is struggling with attendance? (If tutoring a class, please list individual students and their challenges)

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10. What were your instructional goals for this reporting period? (Required.)

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11. Please give detailed examples of how your student(s) implemented the instructional goals set?  (Required.)

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12. Is your student(s) experiencing any challenges or problems in regard to understanding the instructional goals? (Required.)

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13. Did your student(s) successfully complete the homework given? (Required.)

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14. Was a copy of the student work log submitted to the office this month? (Student logs can be filled out at ethosliteracy.org) (Required.)

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15. Was a monthly writing sample or a New Words submission submitted to the office this month? (Required.)

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16. List the materials you are using with your student(s), i.e. book series  (Challenger, Voyager, English No Problem), novels, articles, etc. (Required.)

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17. Which websites are you using as a resource (ReadWorks, Kahn Academy, ProLIteracy-News For You, ISL Collective, etc.)'

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18. How can we help you better serve your student(s)?

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19. Is there anything else you want to tell us about your student's achievements? (If tutoring a class, please list individual students and their achievements)

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20. What have your students said about their achievements this month?

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