LVA FORM-Student Attendance/Goal

LITERACY VOLUNTEERS OF AMERICA
Newark/Essex County
STUDENT ATTENDANCE / GOALS FORM – FY 2004

GENERAL STUDENT AND TUTOR INFORMATION
Please complete this form each month for each student you tutor. Then click on the "Send to LVA" button at the bottom to email this form to LVA.
Student name:

Tutor name:

Tutor email address:

WHERE AND WHEN YOU TUTOR YOUR STUDENT
Please enter the site where you tutor your student.
Tutoring Site:

Using scroll bars below, select "Day of Week You Tutor" and "Hours of Day You Tutor".
Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

MONTH, DAY, HOURS YOU TUTORED LAST MONTH
Using scroll bars below, select "Month", "Day of Month", "Hours Tutored" and "Time of Day".

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STUDENT PERSONAL GOALS
When the student expresses his/her goal(s), click on the "GE Checkbox" to the left of each goal statement.

When the student attains his/her goal(s), click on the "GA Checkbox" to the right of each goal statement

A. As a worker, your student is able to:
GE 1. enter employment GA
GE 2. retain employment GA

B. As a learner, your student is able to:
GE 1. achieve work-based learner goal GA
GE 2.enter occupational skills training prog. GA
GE 3. enter post secondary education GA
GE 4. improve basic literacy skills GA
GE 5. improve English language skills GA
GE 6. obtain a GED GA
GE 7. obtain secondary school diploma GA

C. As a family member, your student is able to:
GE 1.help more frequently with school GA
GE 2. increase contact with child's teachers GA
GE 3. more involvement in school activities GA
GE 4. purchase books or magazines GA
GE 5. read to child(ren) GA
GE 6. visit library (with/for child) GA

D. As a citizen, your student is able to:
GE 1. obtain citizenship skills GA
GE 2. achieve citizenship skills GA
GE 3. more involvement in community GA
GE 4. vote or register to vote GA

E. Other

STUDENT STATUS:
If student is no longer tutored, click "OK" OK

QUESTIONS OR COMMENTS:

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