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Tutor-Learner Two Month Report
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Tutors may report hours by completing the form below (don't forget to click the submit button), OR by downloading a printable form (in PDF format) by clicking here. Printable forms should be sent to: Literacy Volunteers of Roanoke Valley, 5002 Williamson Road, Roanoke VA, 24012.
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Thank you,
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| Tutor: |
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| Email Address: |
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| Learner: |
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| Month: |
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| Tutoring Hours: |
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| Preparation Hours: |
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| Travel Hours: |
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| Other: |
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| Meeting Site: |
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| Meeting Days and Times: |
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| Specific Long-Term Goal(s) Worked Toward this Period: |
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| Specific and Measurable Short-Term Goals Set, Met or Continued this Period: |
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| Specific Long-Term Goal(s) Met this Period: |
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| Miscellaneous Achievements (Check all that apply this period): |
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| Tutor & Learner Comments (Optional): |
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| Material Used or Needed (Optional): |
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