Please complete this form at the end of each month for each student you tutor.
Thank you for being so amazing and for helping to change our community.

Tutor's Name *
Tutor's Name
Student's Name *
Student's Name
Beginning of reporting period *
Beginning of reporting period
End of reporting period *
End of reporting period
ie: once a week for two hours
ie: Mirror Lake Library
How much time do you usually spend preparing lessons before meeting with your student?
total hours for the time period
How many miles did you drive within this time frame?