Thank you for completing the progress report form.

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* 1. Your Name

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* 2. Your Student's Name

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* 3. Date of this Report - Reports are due the 10th of each month for the prior month.

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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. Did your student come to your lessons?

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* 7. If you answered sometimes or no to question #6, do you know why your student is struggling with attendance?

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* 8. What were your instructional goals for this reporting period?

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* 9. Please give detailed examples of how your student implemented the instructional goals set?  

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* 10. Is your student experiencing any challenges or problems in regards to understanding the instructional goals?

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* 11. Are they able to successfully complete the homework given?

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* 12. Was a copy of the student work log, and monthly writing sample, submitted to the office this month?

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* 13. List the materials you are using with your student, i.e. Challenger, Voyager, English No Problem, etc.

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* 14. How can we help you better serve your student?

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* 15. Is there anything else you want to tell us about your student's achievements?

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