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TUTOR NAME:
TIME OF CLASS:
DAY OF CLASS:		 -
STUDENT NAME:
LOCATION OF CLASS
QUARTERLY HOURS: | |

LITERACY ACHIEVEMENTS
Improved Speaking/Understanding Improved Reading Improved Writing
Increased Vocabulary
Improved Pronunciation
Improved Conversational Skills
Improved Grammar		 Increased Comprehension
 Read Text Book/Technical Info
 Read for Pleasure (Book, Paper, ETC)
 Learned Alphabet		 Wrote List
Wrote Letter/Note
Wrote Essay
Improved Spelling
Improved Grammar

SURVIVAL SKILLS
Improved Math Skills
Learned To Use Dictionary
Used Library
Improved Telephone Skills
Improved Computer Skills		 Obtained Driver's License
 Filled Out Form/Application
 Read/Paid Bill
 Gave/Followed Directions
 Used Community Resource		 Learned About Money/Banking
Used Calendar, Map, Schedule
Obtained Public Assistance
Achieved Great Independence
Increased Confidence

ADDITIONAL ACHIEVEMENTS

EDUCATION

HEALTH

EMPLOYMENT
Passed Section of GED
Obtained GED
Accepted/Attending College
Passed TOEFL
Attended Adult Education Classes		 Filled Out Medical Form
Read Medicine Label
Spoke to Healthcare Professional
Described Symptoms
Read Health Related Literature		 Gained Employment
Got Better Job
Learned Job Search Skills
Wrote Resume
Received Job Advancement
Received Job Promotion
Passed Licensing Exam
Improved Skills for Current Job
Improved Communication with Peers, Supervisors, Customers
Read Job Related Materials
Received Commendation or Praise

FAMILY

COMMUNITY
Read To Child
Helped Child With Homework
Attended School Meeting
Volunteered At School
Communicated With Teacher/Other
Understood Materials From Child's School		 Achieved US Citizenship
Learned About USA/Citizenship Skills
Volunteered In Community
Voted

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