Pair Monthly Report
please submit every two weeks.
Tutor:
Student:
Month:
Meeting Place, Day, Time:
Changes in Contact Information?
Days Scheduled/Met This Month:
Session 1 Date:
Session 2 Date:
Session 3 Date:
Session 4 Date:
Session 5 Date:
Session 6 Date:
Session 7 Date:
Session 8 Date:
Total # of hours spent tutoring this month:
Reasons for cancellations:
What is student's main goal?
What did you teach this month?  
What steps were made towards
the student's goal?
Choose the techniques you used this month:
Do you have any concerns?
Do you need any materials?