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PAR Monthly Tutor/Learner Report

You can email Partners in Reading your monthly report by simply filling out the following form or you can fill out our printed form and mail it to Partners in Reading, Dr. Martin Luther King, Jr. Library, 150 E. San Fernando St., San Jose, CA 95112. If you experience trouble filling out your form or have any other questions about this report, call Partners in Reading at (408) 808-2361.

* = required field

For the Month of:   

* Tutor's Name:

Tutor's E-Mail:

Learner's Name:

Hours Met:
Week of (date)    
Number of Hours
  1st     
  2nd     
  3rd     
  4th     
  5th     
  Total Hours:    

Technology Used in Tutoring:
PAR Lab   Computer   Web TV   Video   Other  

WRS Substep:

Meeting Site:

Goals Met/Comments:

Materials Used:

Materials Request:

         

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This page last updated January 10, 2008 by Web Team

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