Tacoma Literacy Council, Tacoma, Washington

TALC Volunteer Hours Quarterly Report

Please check the box next to the quarter you are reporting on this form:
Jan-Feb-Mar Apr-May-Jun
Jul-Aug-Sep Oct-Nov-Dec

Please indicate the appropriate information about your student:
Basic ESOL No Student

Today's Date:   Student's Name:


Name: Phone:
Address: Email:

Please fill in chart below with the number of hours (to the nearest quarter hour) that you have volunteered each month of this quarter. Use the last row to add together your hours for your totals. Remember that attendance at meetings or training and committee work would be put in the "Other Hours" column.

MonthTeaching HoursPreparation HoursTravel HoursOther Hours
Total for Quarter

Materials being used:
Series:   Level:   Other:

General information needed for our annual report:
Original main goal of student:
Short term goals:
Student Accomplishments & Life Advances this Quarter:
How did your student hear about our tutoring program?

Tacoma Literacy Council
Box 7210, Tacoma, WA 98417-0210

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