Tutor Report

Each form is for one month and one student only. Thank you for your cooperation.
Your name*
First Last
Your email*
Are you tutoring in-person or remotely?*
- In-person
- Remotely (Phone, Zoom, email, etc.)
- Not tutoring at this time
In-person tutoring location*
Student name*
Please enter only ONE student name per form
First Last
Reporting month*
Choose month during which the tutoring occurred
Tutor Days*
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Approximate Times of Day*
Hours*
Number of hours you tutored a student during the Reporting month
Please enter a number from 0 to 25.
Comments to program staff
Please only use this section to report on tutor and/or student-related queries, progress or challenges.

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