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Annual Report Form 2022-23
Match Information
Thank you for completing this survey on behalf of your student(s). If you have more than one student, please complete one for each. You may anticipate your hours of service through June 30th, 2023.
*
1.
Student's Name:
(Required.)
*
2.
Tutor's Name:
(Required.)
3.
Has your student's contact information changed in the past year?
Yes
No
Please share student's updated address, phone number, and/or email address if applicable:
4.
Will you and your student continue lessons?
Yes, in person
Yes, remotely
Yes, a hybrid of in-person and remote lessons
No
5.
If not, why? Check all that apply.
met goal(s)
attained employment/job conflict
entered other educational program
moved from area
childcare problem
transportation problem
lack of interest
personal problem (family, health, etc.)
Other (please specify)
6.
How is your student receiving instruction? (Check all that apply.)
Classroom/Team resource sharing (Google Classroom, Microsoft Teams, Wakelet, etc.)
Virtual meeting platform (Zoom, Skype, etc.)
Collaborative platforms (Google, Jamboard, Fiipgrid, etc.)
Learning platforms (Voxy, Learning Upgrade, Kahn Academy Apps, etc.)
Gaming/Quizzing platforms (Quizezz, Kahoot, Factile, etc.)
Messaging platform (WhatsApp, Facebook Messenger, Remind, etc.)
YouTube channel or video
Texting/SMS messaging
Email
Mail/Hand delivery (learning packets)
