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San Francisco

870 Market Street, Suite 718
San Francisco, CA 94102 reftrans@reftrans.org
415.989.2151
415.989.2153 (fax)

 
Oakland

1212 Broadway, Suite 702
Oakland, CA 94612
510.834.6000

 
 
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 ► Adult Program Monthly Volunteer Log
 
Dear Volunteers, 

Please fill out this monthly report so that we can
keep updated records of the lessons you and your
youth work on together.
 :: Volunteer and Student Information
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Your Name
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Student's Name
 
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  :: Service Summary
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1. How many hours of tutoring have you completed to date, since you first started?
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How many hours have you already completed? hours
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Please list the date of your first meeting with the youth (MM/DD/YYYY)
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2. How many hours of tutoring have you completed this month?
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How many hours have you completed this month? hours
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  :: Service Recap
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3. Please list a recap of meetings and activities performed this month.  Please use the example below as a template.  Please also note any specific student performance improvements.
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Note: Please spend at least 12 hours on each of the following chapters: Health, Employment, Finance, and Transportation.
 
  Example:
Date: 6/25/2004
Hours: 2 hours (2pm-4pm)
Chapter: Chapter 2 - Finance
Notes/Pages Covered: Pages 13-14 - Covered savings and checking accounts.  Introduced how to use and balance a checkbook and how to make bill payments with checks.
 
  Recap all of your activities and evaluations for this month below:  
   
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  :: Service Experience and Activities Performed
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4. Are you still tutoring?  If not, please give reasons for exiting the program.
 
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Changed class or program
 Completed program
End of program year
Got a job (please describe in box below)
Moved
Schedule Conflict		 Lack of Transportation
 Lack of Child Care
Family Problems
Own health problems
Public Safety
Unknown Reason
 
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    Please describe any other reasons or details below.  
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  5. What was your student's primary goal in starting Refugee Transition's tutoring program?  
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  To get a job
 To retain a job
To advance to a higher job level		 To enter a job training program
 I do not know		  
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   If Other, please explain below.  
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  6. What work related accomplishments has your student made?  
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  Got a job
 Retained a job
Met work-based project goal		 Entered job training
 Acquired workforce readiness
Reduce public assistance		  
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    If Other, please explain below.  
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  7. What computer skills has your student learned?  
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  Basic typing skills
 Word processing		 Learned to use the Internet
 Learned to use e-mail		  
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    If Other, please explain below.  
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  8. What personal/family goals were achieved?  
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Increased involvement in children's education
 Increased involvement in child's literacy		 Met other family goal
Met personal goal
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    If Other, please explain below.  
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  9. What community goals were accomplished?  
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  Achieved US Citizenship skills
Registered to vote or voted for the first time
 Increased involvement in community activities		  
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    If Other, please explain below.  
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  10. Did your student attain any educational results?  
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  Entered K-12
 Passed GED
Earned Certificate
Earned High School Diploma		 Entered College
 Entered Training Program
Gained Computer or Technical Skills		  
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    If Other, please explain below.  
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  11. What other services did your student receive while receiving tutoring?  
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  Assessment
 Personal Training
Counseling
Job Development
Occupational Skills
On-the-job training
Work experience
Pre-Employment/Job Readiness Skills
Post-Secondary Academics
Transportation		 Health Care
 Family/Child Care
Housing or Rental Assistance
Personal, Financial, or Legal Counseling
Supplemental Instruction/Services
Needs-Based Related Payments
Emergency Financial Services
Federal Education Cash Assistance
Other Supportive Services
  
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    If Other, please explain below.  
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  12. Please add any other information about your student or experience to help us provide additional services.  
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  :: Volunteer Contact Info

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 Your E-Mail Address

Thank you for your feedback!

 

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www.reftrans.org
 Last Updated: 2/1/2007