Fayetteville Urban Ministry

 

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ARP Monthly Tutor Report

PLEASE COMPLETE FORM BY THE 5TH OF THE MONTH

MONTH:
YEAR:
TUTOR:
 

STUDENT:

 

 
TOTAL HOURS SPENT IN:
Tutoring:
 
Prep & Travel:

 

IF LESSONS WHERE CANCELED AND/OR STOPPED
PLEASE GIVE DATE AND REASON(S)

 

 
DATE OF SESSION
SKILL BOOK & LESSON #

TUTORING HOURS

P & T HOURS

1
2
3
4
5
6
7
8
9
10

 

IF YOUR STUDENT HAS MADE ANY OF THE ACCOMPLISHMENTS LISTED BELOW PLEASE ENTER THE DATE OF THE ACCOMPLISHMENT IN THE BOX TO THE LEFT OF THE CORRESPONDING ACHIEVEMENT.


DATE ACHIEVED ACCOMPLISHMENT
Fill out job application
Completed Skill Book #
Read the Bible
Learned to Read (non-reader)
Entered Academic Program
Improved Reading/Comprehension
Improved Math Skills
Removed from Public Assistance
Gained Employment
Attained State Driver's License
Got a Better Job or Promotion
Read More to Children
Involved in School
Voted or Registered to Vote
Increased Involvement in Community Activity
Retained Employment
Increased Contact with Child's Teacher
More Involved in Child's School Activities
Visited the Library (with or for a child)
Purchased Books or Magazines
Read for Pleasure
Wrote a Letter

LEARNED BASIC FUNCTIONAL SKILLS SUCH AS:
Increased Daily Living Skills
Improved Self-confidence
Higher Level of Independent Living
Paid Own Bill / Wrote Check
Learned to use a Computer
Read a Newspaper

 

Other Explanations and Comments:

 

 
   
   
 
 

United Way of Cumberland County
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701 Whitfield Street    P.O. Box 1171    Fayetteville, NC 28302
Phone: 910.483.5944    Email:
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