Month:(Required)Year:(Required)Tutor Name:(Required)Student Name:(Required)Session Record(Required)Session DateClass TimePrep TimeTravel Time or On-line (O)Student Homework SubjectH.W. Hours Add RemovePlease note what goal(s) Student has met this month.ECONOMIC GOALS Please indicate date met.Visit NM Workforce Connection Center Month Day Year Visit NM Workforce Connection CenterAttain or retain employment Month Day Year Attain or retain employmentAttain or retain employment Month Day Year Complete Job application or interviewObtain a pay increase Month Day Year Obtain a pay increaseObtain a pay increase Month Day Year Obtain assistance (e.g. with food insecurity, housing, transportation, healthcare, legal services, domestic violence, addiction)Obtain a pay increase Month Day Year Leave public assistanceObtain a pay increase Month Day Year Obtain workforce skillsObtain a pay increase Month Day Year Improve job application or interviewing skillsObtain a pay increase Month Day Year Obtain licenses or certificationObtain a pay increase Month Day Year Improve financial skills Obtain a pay increase Month Day Year Other economic goal:EDUCATIONAL GOALS Please indicate date met.Obtain a pay increase Month Day Year Complete post-test educational function level gainObtain a pay increase Month Day Year Improve digital skillsObtain a pay increase Month Day Year Increase test scoreObtain a pay increase Month Day Year Improve speaking skillsObtain a pay increase Month Day Year Improve reading skillsObtain a pay increase Month Day Year Improve writing skillsObtain a pay increase Month Day Year Improve math skillsObtain a pay increase Month Day Year Improve health literacyObtain a pay increase Month Day Year Improve English language proficiencyObtain a pay increase Month Day Year Read first bookObtain a pay increase Month Day Year Entered an Adult Education programObtain a pay increase Month Day Year Pass an office practice testObtain a pay increase Month Day Year Pass part of HSE Exam: Reading Writing Social Studies Science Math Obtain a pay increase Month Day Year Place in postsecondary educationObtain a pay increase Month Day Year Place in training programObtain a pay increase Month Day Year Other educational goal:FAMILY GOALS Please indicate date met.Obtain a pay increase Month Day Year Increase involvement in child’s education and activitiesObtain a pay increase Month Day Year Communicate with school teachers/staffObtain a pay increase Month Day Year Obtain library card (with/for a child or family member)Obtain a pay increase Month Day Year Visit library (with/for a child or family member)Obtain a pay increase Month Day Year Read books or magazines (with/for a child or family member)Obtain a pay increase Month Day Year Obtain healthcare for child or family member (e.g., made appointment, advocated for family member, read prescription label, etc.) Obtain a pay increase Month Day Year Other parenting or family-related goal:PERSONAL GOALS Please indicate date met.Obtain a pay increase Month Day Year Obtain library card (for personal use)Obtain a pay increase Month Day Year Visit library (for personal use)Obtain a pay increase Month Day Year Read books or magazines (for personal use)Obtain a pay increase Month Day Year Obtain healthcare for self (e.g., made appointment, advocated for self, read prescription label, etc.) Obtain a pay increase Month Day Year Gain personal confidence Obtain a pay increase Month Day Year Other personal goal:SOCIETAL/COMMUNITY GOALS Please indicate date met.Obtain a pay increase Month Day Year Vote or register to voteObtain a pay increase Month Day Year Obtain a driver’s licenseObtain a pay increase Month Day Year Organize or participate in neighborhood meeting, community forum, or similarObtain a pay increase Month Day Year Have a conversation in EnglishObtain a pay increase Month Day Year Other community/society goal: Δ
