Adultlearning connection

Report Hours

Quarterly Report Form
Please report the hours you spent tutoring one-to-one, small group, or in a classroom. Also report any non-tutoring hours such as Literacy Volunteers of Lake County Board activities. Additionally, please report any time spent in observing instruction. For example, count the time you might spend observing the instructor in an Adult Education classroom. If you are tutoring more than one adult learner, please list separately the name and the hours of instruction for each learner. If you stopped tutoring this quarter, please indicate the date on which you last tutored and your accumulated hours.

This information is vital...we are required by the state to file reports on volunteer tutoring activities to assure continued grant funding! This report is due by the 5th of the month after the quarter ends, so PLEASE BE PROMPT with your reply. Thanks for your commitment to your students and the program.

Your Name

Tutoring hours

Non-tutoring hours

Classroom or small group hours

Classroom observation hours

Individual hours

First Name: Hours:
First Name: Hours:
First Name: Hours:

No longer tutoring

(Date tutoring stopped; what happened to student?)

Your email

If you include your email, you will receive a copy.

Quarter

1st (July, Aug, Sept)	2nd (Oct, Nov, Dec)
3rd (Jan, Feb, March)	4th (April, May, June)

The Quarterly Report form can also be mailed or faxed to:

Onice Pitts, Literacy Secretary
College of Lake County, Room B119
19351 West Washington Street
Grayslake, Illinois 60030
Fax: 847 543-3024

Onice Pitts, Records Manager: opitts@clcillinois.edu