STUDENT          Vita Contact Person 

TUTOR         REPORT PERIOD (mo/yr)

Tutor's e-mail address

 Please contact me   Change in  phone, address, e-mail address:  Student Tutor 

No. hours this month tutoring                  No. hours this month preparation 

LEARNING ACTIVITIES   Listening   Speaking   Reading    Writing     
                                      Vocabulary    Structure    Culture    Pronunciation 

WORD RECOGNITION    sight words  phonics  syllabication  affixes   word patterns

COMPREHENSION      oral reading   silent    PQRST   shared inquiry   Situation X

WRITING  spelling    mechanics   journal    essay    language experience

MATH        computation   word problems    geometry    algebra              

OTHER:    
      

IS YOUR STUDENT MAKING PROGRESS?     yes      no

GOALS REACHED THIS MONTH:
  Obtained secondary school diploma              Increased involvement in community activities                 
  Obtained GED                                              Achieved work-based project learner goal
  Advanced to post secondary education or training    Left public assistance
  Gained employment                                        Increased contact with child's teacher
  Retained employment                                      More involvement with child's school activities  
  Achieved citizenship skills                                Read more to child
  Registered to vote                                           Visited library (with/for child)
    Voted for the first time                                   Purchased books or magazine

ACHIEVEMENTS:  (such as new sight words, new book level, used a map, wrote a letter)

MATERIALS USED: 

SOURCE OF MATERIALS:  Vita Library    Public library    Tutor-made    Other

Match Discontinued?   Date   Reason
COMMENTS: