Volunteer Tutor Monthly Report ~ Literacy Connections of the Hudson Valley

Tutor Reports

Please understand that the reports we ask you to fill out are required by NYS Dept. of Education, and other funders. We cannot exist without your reports.

Click here to download a fillable PDF or simply fill out the below form and hit submit.

Volunteer Tutor Monthly Report

Tutor's Name*
First Last
Today's Date*
MM slash DD slash YYYY
Your email address:*
Your Phone Number*
Month / Year of Activity
Tutor Hours for the Month
Instructional Hours
Enter as a decimal, rounded up to the nearest half hour.
Preparation Hours
Enter as a decimal, rounded up to the nearest half hour.
Travel Time
Enter as a decimal, rounded up to the nearest half hour.
Other (explain)
Student Information
Student Name(s) and Instructional Hours
(Example: "Mary Smith, 10 hrs. Bill Jones, 8 hrs.")
Student Name(s) and Email Address
Hours Student worked on their own.
How many hours did the student work by themselves that were verified by you.
Is the student employed?*
Select employment status
Employment Change:*
- Obtained a Job
- Improved employment (Raise, better hours, any change for the better)
- No longer employed
- No Change
Student Achievement List
Click the above link to show the list of possible student achievements
Achievements*
If your student has achieved any of the achievements from the above link in the past month please select the relevant number from the drop-down box. If they haven’t achieved any of the items on the list please select 0. Students are not expected to have an achievement each month, most students have an average of 3 achievements a year. If your student has achieved something that is not on this list please feel free to write it in the Other Achievements section of your monthly report.
Other Achievement
If your student has achieved something that is not on the achievement list please describe it here.
Additional Needs:
Do you want a call from your coordinator?
- Yes
- No
Do you have additional comments?
If Tutoring Stopped:
If tutoring stopped, please provide stop date:
MM slash DD slash YYYY
Is there a specific reason?
Do you want another tutor match?
- Yes
- No
Please note if any of the following applies to your student:
New Address? If so please provide:
Street Address City State ZIP Code
New Phone Number? If so, please provide:
New Email Address? If so, please provide:
Who is your coordinator?*
(Click the field above to choose your coordinator.)
Hit Submit
Please make certain that once you have filled out your report that all the information is correct and that you hit the submit button. Thank You.

Tutor Reports

Volunteer Tutor Monthly Report

Tutor Hours for the Month

Student Information

Additional Needs:

If Tutoring Stopped:

Please note if any of the following applies to your student:

Hit Submit

Literacy Connections Programs are Funded by: