Thank you for completing the progress report form.

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1. Your Name (Required.)

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2. Your Student's Name (Required.)

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3. Date of this Report - Reports are due the 10th of each month for the prior 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 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 is struggling with attendance?

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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 implemented the instructional goals set?   (Required.)

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

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13. Are they able to 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 on our website.) (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, i.e. Challenger, Voyager, English No Problem, etc. (Required.)

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17. How can we help you better serve your student?

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

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