Month:  January February March April May June July August September October November December   Year:  2004 2005 2006 2007 2008 2009 2010       Tutoring Site:  Session Type:  Basic Literacy   ESOL  One on One Small Group   (Please indicate individual progress in project detail.) Tutor Name:  Tutor Phone (H):  Tutor Phone (W):  Tutor E-Mail:   Tutor Address has Changed Student Name:    Student Phone (H):  Student Phone (W):   Student Address has Changed  This is a New Student Date Tutoring Hrs Travel Hrs Prep Hrs Lesson Comments: Indicate instructional materials and lesson numbers, including all supplemental and "real life" materials, and please describe tutoring session. If session was canceled, give reason.  Check here if book was completed this month.          Check here if you need assistance.  Check here if certificate is needed.  Check here if tutoring has terminated. Goal Achievement - Please check any/all first-time achievements performent independently by the learner. Educational Goals Societal/Community Goals  Wrote Letter  Read First Book  Completed a Workbook  Used a Computer to Create a Document  Used a Computer to Search the Internet  Used a Computer to Create and Send Email  Improved Money Skills  Used Correct Measurement Unit to Perform a Function  Enrolled in Higher Education/Training  Obtained GED  Met Other Educational Goal         Obtained Driver's License/State ID  Obtained Commercial Drivers License(CDL)  Obtained Library Card  Used the Library  Read and Understood Product Labels/Used Coupons  Used Public Transportation  Registered to Vote  Voted  Passed Citizenship Test  Met Other Societal/Community Goal        Occupational Goals Personal/Family Goals  Passed Job-Related Test  Received Award/Recognition at Work  Recognized Survival Signs  Learned Safety Procedures  Filled Out Job Application  Completed Time Card/Time Sheets  Went on a Job Interview  Completed Trial Employment Period  Obtained a Job  Obtained a Better Job  Retained Current Job  Received a Promotion  Decreased Public Assistance  Met Other Occupational Goal         Opened Bank Account  Improved Banking and/or Credit Skills  Bought House/Rented Apartment  Paid Bill By Self  Used Recipe to Create Meal  Filled Out Forms  Read Menu  Improved Telephone Skills  Relayed Personal Information  Read Personal Mail  Read Religious or Other Book for Pleasure  Created a Budget  Met Own Needs Using Community Resource/Agency  Read and Understood Health Related Material  Increased Self Confidence  Read a Book to a Child  Helped Child With Homework  Increased Involvement in Childrens School Activities  Met Other Family/Personal Goal        Progress Details (Spontaneous Achievements, Concerns, Other Comments) Other Volunteer Activities Volunteer Postition Hours Board Committee Meeting Fund-Raising Speaking/Promotion Publications   The Columbus Literacy Council 195 N.Grant Avenue, Columbus, Ohio 43215 Questions? 614.221.5013 www.columbusliteracy.org This site is sponsored by: