Monthly Report & Connect Form Monthly Report & Connect Form Tutor's Name:Tutor's Email: Learner's Name:Literacy Specialist:Please selectNathalie JacksonSun OhMary SmithAmanda YoonTutoring Site:Please selectCampbellCupertinoGilroyLos AltosMilpitasMorgan HillSaratogaWoodlandMonth of Tutoring Activity:Please selectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberI would like to be contacted by my Literacy Specialist because I need support and/or materials: Yes No How many instructional hours did you spend with your learner?How much time did you spend preparing for the lessons?How much time did your learner spend preparing for the lessons or completing homework?What goals are you and your learner working on? Please check one or more:Reading/Speaking Learn the alphabet, letters and sounds Improve pronunciation Read a book, an article from a newspaper or magazine, or read passages from their workbook Read health education information or plan nutritious meals Read medicine labels Communicate better with other people in the community (health workers, merchants, business professionals...) Practice reading a book to share with children or family members Writing Improve writing sentences and grammar Write a letter, an email, notes, recipes and/or work related correspondence Write a summary or essay Write checks and pay bills Computer Skills Learn to type and use computer keyboard Create an email account Become more comfortable using an email account Learn searching the Internet or using a mobile device Library/School/Children Got a library card Check out items or use library services more regularly Take children to library story time Help children with homework Become more comfortable interacting with the school or with teachers Obtained a license or certificate Passed part or all of the GED test Work Find a job and search job listings Be able to perform current job tasks better Read a work-related manual Fill out a job application Write a resume Prepare for an interview for a job and interview for a job Get a job or a promotion Other Personal Goals & Life Skills Pass the Citizenship Test Get a driver's license Learn how to find community services or resources Register to vote or read Easy Voter Guide Vote Get involved with a community issue Become a volunteer Refer others to the Reading Program Other If you selected "Other," please explain:Please tell us how things are going.Please share with us any goals that were met last month.Do you know of a great resource, service, website you would like to share with other tutors?Please share a fun anecdote, a tutoring tip or a learner written piece that we could include in our Hello Tutors or post on our blog.NameThis field is for validation purposes and should be left unchanged. Close Can you tell me more about this webform submission? The contents of this webform are sent to library staff via email. We recommend that you do not submit confidential information (like your library card number, passwords or credit card information). If you need to share confidential information with library staff, we suggest that you use other channels of communication, such as the telephone.Visit our Privacy Statement, opens in a new window to learn more about how your personal information is handled and protected. This information will be submitted via email. Learn More about sending data over email. This iframe contains the logic required to handle Ajax powered Gravity Forms.