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Literacy of Northern New York is a proud partner of the 

Literacy of Northern New York
Serving Jefferson, Lewis and St. Lawrence Counties
Helping adults learn to read and speak English better.

Tutor Notes and Quarterly Hours Form

Literacy of Northern New York is required to collect data from tutors regarding their time spent working with students.  We are also looking for any information about changes in your students' lives. If your student takes a course, gets a job, enters any kind of training, has a reduction in Public Assistance, etc., let us know. This helps us with our reports for funding. We are looking for goals and goals achieved. Tell us about any time you spend with your student such as an outing or working on a computer. If you are not sure, just send the information and we will determine what is relevant. You can send notes any time. Please complete a separate form for each student you are working with after every three month period when submitting hours.  When you are finished with each form, click submit. You will see a confirmation page.  If you experience any problems, contact the office at 315-782-4270 (Watertown) or 315-265-0194 (Potsdam) or 315-376-8188 ((Lowville).  Thank you.
 

Tutor Name (Last, First):  

Phone Number:

Email address:

Student Name (Last, First):

Months:

Instructional/Contact Hours:

Preparation Hours:

Travel Hours:

Student Notes: Submit any time
Did your student
Get a job, get a better job, keep a job, study for citizenship, enter any kind of training, pass any type of test, get a license or certification, have any other changes?
Is your student planning to move?

Comments/Questions:

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