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Report Hours

Tutor Name:

Tutoring Site:

For the Month of:

Meeting Day/Time:

Please put hours in each box, not check marks.
Use the following codes when entering student’s lack of attendance:
 EX=Excused (Student called)    H=Holiday     NS=No Show     C=Canceled by Tutor

 
CLASS DATES:
  

Student First & Last Name

 Total Hours

Tutor's Instructional Hours:

Tutor's Preparation Time:

Comments on
Student Progress:

How Can LV Staff
Further Assist You?

Changes in
Student Information:
Please review student(s)
registration form and report
any changes (address, phone,
new job, etc. here)

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NEW HAVEN OFFICE: 4 Science Park, New Haven, CT 06511
p: 203-776-5899 • f: 203-865-3867 • e: info@lvagnh.org

MERIDEN OFFICE: 14 West Main Street, Meriden, CT 06451
p: 203-235-1714 • f: 203-440-3138 • e: info@lvagnh.org

VALLEY OFFICE: Valley Regional Adult Education, 415 Howe Avenue, Shelton, CT 06484
p: 203-924-6651 • e: info@lvagnh.org

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