Volunteer Tutor Monthly Report ~ Literacy Connections of the Hudson Valley

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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 Monthly Report New

Tutor's Name(Required)

First Last

Today's Date(Required)

MM slash DD slash YYYY

Email(Required)

Phone(Required)

Tutoring Information for the month

Reporting hours for the month of:(Required)

What Month are these hours for?

Instructional Hours

How many hours did you work with all of your students combined? Round to the nearest half hour. For example, one hour and fifty minutes would be recorded as 2 hours. One hour and twenty minutes would be recorded as 1.5 hours.

Preparation Hours

How many hours do you take to prepare lessons for all of your students combined? For example, one hour and fifty minutes would be recorded as 2 hours. One hour and twenty minutes would be recorded as 1.5 hours.

Travel time

How many hours did it take to travel to and from your lessons with all of your students combined? For example, one hour and fifty minutes would be recorded as 2. One hour and twenty minutes would be recorded as 1.5.

Other (Explain)

Do you have individual students or a class?(Required)

Individual students

Class

Student Information

Student's Name(Required)

First Last

Instructional Hours(Required)

How many hours did you work with this specific student? Round to the nearest half hour. For example, one hour and fifty minutes would be recorded as 2 hours. One hour and twenty minutes would be recorded as 1.5 hours.

Homework Hours

If you assigned homework how many hours did the student spend working on their own?

Is the student employed?(Required)

Full time

Part time

Retired

Unemployed less than 6 months

Unemployed more than 6 months

Unemployed not looking for work

Unkown

Employment Change(Required)

Obtained a Job

Improved Employment (Raise, better hours, any change for the better)

No longer employed

No change

Did student's contact information change?(Required)

Yes

No

Do you have a second student?(Required)

Yes

No

Student Information

Second Student

Student's Name(Required)

First Last

Instructional Hours(Required)

How many hours did you work with this specific student? Round to the nearest half hour. For example, one hour and fifty minutes would be recorded as 2 hours. One hour and twenty minutes would be recorded as 1.5 hours.

Homework Hours

If you assigned homework how many hours did the student spend working on their own?

Is the student employed?(Required)

Full time

Part time

Retired

Unemployed less than 6 months

Unemployed more than 6 months

Unemployed not looking for work

Unkown

Employment Change(Required)

Obtained a Job

Improved Employment (Raise, better hours, any change for the better)

No longer employed

No change

Did student's contact information change?(Required)

Yes

No

Do you have a third student?(Required)

Yes

No

Student Information

Third Student

Student's Name(Required)

First Last

Instructional Hours(Required)

How many hours did you work with this specific student? Round to the nearest half hour. For example, one hour and fifty minutes would be recorded as 2 hours. One hour and twenty minutes would be recorded as 1.5 hours.

Homework Hours

If you assigned homework how many hours did the student spend working on their own?

Is the student employed?(Required)

Full time

Part time

Retired

Unemployed less than 6 months

Unemployed more than 6 months

Unemployed not looking for work

Unkown

Employment Change(Required)

Obtained a Job

Improved Employment (Raise, better hours, any change for the better)

No longer employed

No change

Did student's contact information change?(Required)

Yes

No

Class Info

List of students(Required)

List each student by name and how many classes they attended for the month. Type students name and how many classes they attended then click the plus sign and list the next student. (Ex: Mary Smith 3 classes + John Smith 1 class)

How is the class going?

Let us know how the class is doing and anything else you would like your coordinator to know.

Which information changed?(Required)

Preferred Name

Address

Phone number

Email address

New Preferred Name(Required)

First Last

New Address(Required)

Street Address City State ZIP Code

New Phone Number(Required)

New Email(Required)

Additional Information

Do you want a call from your coordinator?

Yes

No

Did you stop tutoring?

No

One Student

Multiple Students

Class

Did you stop tutoring any of your students or end a class?

Do you have additional comments?

Name

First Last

Name of students no longer being tutored

Date tutoring stopped?

MM slash DD slash YYYY

Reason Tutoring stopped?

Do you want another tutor match?

Yes

No

What area do you tutor in?(Required)

City of Poughkeepsie

Southern/Rural Dutchess County

Orange County

Columbia/Greene County

I don't know

Δ

Literacy Connections Programs are Funded by:

Dutchess County Agency Partner Grant | Dyson Foundation | New York State Department of Education | United Way of the Dutchess-Orange Region
United Way of Columbia-Greene Counties | Dollar General Literacy Foundation | The generous donation of Friends of Literacy, Spelling Bee Sponsors, and Individual Donations.

“Helping people to read, write, and reach their potential”

Locations

Dutchess County
504 Haight Ave
Poughkeepsie, NY 12603
Phone: 845•452•8670
Fax: 845•452•3050

Columbia & Greene Counties
Hudson Area Library
51 North 5th Street
Hudson, NY 12534
518•828•1792 Ext. 104

Orange County
436 Robinson Ave
Newburgh, NY 12550
845•522•8986 ofc
845•232•0734 cell

Agency Email
info@literacyconnections.org

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