Monthly Activities Report
Thank you for keeping TALC up-to-date. This data will be used to update our records, place you with a new learner, collectively report our progress to ProLiteracy, and for grant writing.
Your Name
*
First Name
Last or Family Name
Your Email. A copy of this form will be emailed to you when you submit it.
*
example@example.com
Any updates to your contact information (name, address, phone, email) for our membership roster?
None
Have you been vaccinated for COVID-19?
No
Partially Vaccinated
Fully Vaccinated
Would you like to be contacted for a one-on-one or group training session regarding the use of online tools for tutoring?
*
No
Yes
I am reporting my volunteer hours for the following period:
*
January
February
March
April
May
June
July
August
September
October
November
December
For the year:
*
Please tell us your TOTAL volunteer hours for this period. Include all learners & group classes, and use 'Other' for TALC meetings.
*
Teaching Hours
Preparation Hours
Travel Hours
Continuing Education Hours
Other Hours
Volunteer Hours
If you entered 'Continuing Education Hours', please describe your activities:
If you entered 'Other Hours', please describe your activities.
Are you assisting with any TALC group classes?
No
Yes, Puyallup Classes
Yes, Sumner Classes
Yes, Parkland Classes
Yes, Lakewood Classes
Are you presently placed with an individual student? Please select 'Yes', even if you have stopped meeting.
*
Yes
No
What is your individual learner's name?
First Name
Last or Family Name
Share recent student successes, life advances or challenges with this learner:
Are you actively tutoring this learner?
Yes
No
Approximately when did you stop tutoring this learner?
-
Month
-
Day
Year
Date
What is the primary reason that you are no longer tutoring this learner?
Met Goal
Job conflict
Moved
Childcare Problems
Personal Problems
Transportation Problems
Lack of interest
Entered other education
Other
If you have additional learners, please provide their names and relevant information on their status (as described above):
Name, active or inactive, successes and challenges
Are you ready for a new or additional learner?
*
Yes, I am
No thanks
With a new learner, I can meet during these times (choose all that apply):
*
Weekends
Evenings
During the school day (9-3)
Other
For my new learner, I would prefer this gender:
*
No Preference
Male
Female
I would prefer to meet (Online, In Person):
*
Fully online
In person
Mixture of online & in person
TALC Tutors and learners meeting in-person choose a public place, often a library. If you intend any in-person meetings, please select all locations that are easy for you:
*
Downtown Tacoma
South Tacoma
East Tacoma
West Tacoma
North Tacoma
University Place
Lakewood
Fredrickson
Parkland/Spanaway
Sumner
Bonney Lake
Puyallup
Buckley
Fife/Summit
Gig Harbor
For my new learner, I would prefer this type of learner (ELL or ABE):
*
(ELL) a learner with English as a second language
(ABE) a native English speaker needing help in reading, writing or basic math
No preference
I would prefer an English Language Learner (ELL) from:
*
No Preference
Central/Latin America
Russia/Eastern Europe
Middle East
Europe
Africa
Asia
I would prefer to work with an English Language Learner (ELL) whose English is (check all that apply):
*
No Preference
Low-level or no English
Some working English
Good English but wants targeted work
I would prefer an Adult Basic Education (ABE) learner that is:
*
No Preference
Low-level, possibly with a learning disability
Higher-level, for example, working toward a GED
I would prefer to work with an ABE or ELL student with this level of education (check all that apply):
*
No Preference
Less than a high school education
High school graduate
College degree
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