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

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* 2. Your Student's Name(s)

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* 3. Date of this Report - Reports are due at the end of each month.

Date

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

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

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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?

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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?

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

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

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

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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)

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

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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.

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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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