Tutor Hours Form

View/Download 2014-2015 Tutoring Calendar

The mission of Literacy Volunteers of Ontario-Yates, Inc. is to provide adults the literacy skills needed to reach their full potential as individuals, parents, workers, and citizens.

The information requested below is either state-mandated OR necessary for LVOY to assist tutors in attaining our mission.

Hours for the month of:
Tutor Name:
Learner Name:
Tutoring Time (enter hours:) 
Preparation Time(enter hours): 
Travel Time (enter hours): 
Tutoring Location: 
Tutoring Day/Time: 
Change of contact information (tutor):
Change of contact information (learner):
Student Accomplishments this month:
New skills attained (example: mastering concept of synonyms):
Personal goals attained (example: got a job, got a driver’s license):
Please share any success that you and your learner have had this month:

Thank You!