Tutor Name:
First: Last:

Tutor E-Mail Address:

Month / Year:

Learner Name(s):

Are you an English as a Second Language or a Basic Literacy tutor?

Please select below ------------------------------------------------ English as a Second Language Basic Literacy

Accomplishments

Personal Accomplishments:
Improved confidence
Improved life skills
Played a game
Worked on a computer
Other Personal Accomplishments:

Reading Accomplishments:
Read mail
Read newspaper
Read stories/articles
Read book
Read for pleasure
Read other:

Writing Accomplishments:
Wrote a letter or postcard
Wrote name, address and telephone number
Completed forms or applications
Wrote more at home, work or school
Wrote a story or essay
Took phone messages
Wrote other:

Speaking/Listening Accomplishments:
Improved speaking skills
Improved pronunciation
Understood spoken English better
Used the telephone
Spoke to a new person
Expanded vocabulary
Other speaking/listening accomplishments:

Employment Accomplishments:
Filled out a job application
Completed a resume
Performed job better
Gained employment
Retained or advanced in current job
Other employment accomplishments:

Educational Accomplishments:
Joined another academic program
Studied for a government test
Improved spelling
Learned more sight words
Other educational accomplishments:

Economic Accomplishments:
Opened a bank account
Read a bank statement
Used an ATM machine
Wrote checks
Other economic accomplishments:

Family Accomplishments:
Read more to children/grandchildren
Became involved in children's school
Helped children with homework
Worked on family health issues
Other family accomplishments:

Community Accomplishments:
Used the library
Volunteered
Went shopping alone
Read street, traffic or other signs
Other community accomplishments:

Is there anything else you'd like to share with us about your goals, accomplishments, triumphs or needs?

Please list any favorite activities you are using in your lessons.

Are there any areas you could use help with?

May we share your ideas in training and the newsletter?
yes no

When we worked this month:

What day(s) and time(s) did you meet?

Where did you meet?

Additional comments:

Thank you!
Your updates will help us improve our programs, seek funding, recognize achievements and help more learners.