JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Adult Literacy Volunteer Time Sheet
We appreciate your helping us make Citrus Libraries Adult Literacy Services a success. It helps us keep accurate statistical data and supports the Library when seeking funding to support Adult Literacy Services.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date
*
MM
/
DD
/
YYYY
Tutor's Full Name (First Name, Last Name)
*
Your answer
Tutor's Phone No. (Please include area code)
*
Your answer
What library branch did you meet at?
*
Choose
Central Ridge Branch, Beverly Hills
Coastal Region Branch, Crystal River
Floral City Branch
Lakes Region Branch, Inverness
Homossassa Branch
Reporting Month/Year (January/2018)
*
Your answer
What service(s) did you provide?
*
Class Instruction
One-on-One Tutoring
Administrative Support
Other:
Required
If you served as an Instructor, how many classes did you volunteer for?
Your answer
What were the names of the classes you volunteered for?
Your answer
If you tutored a learner, how many learners did you help this month?
Your answer
What are the names of the Learners?
Your answer
SUBMITTING HOURS
Please round time to the nearest Hour and do not include minutes.
Total Preparation Hours
*
Your answer
Total Instructional Hours
*
Your answer
Total Travel Hours
*
Your answer
Total "Other" Hours
*
Your answer
Comments
Your answer
Thank You!
Appreciate your help in making Citrus Library's Adult Literacy Program a success. (Form 8.03B.2 - 8/2017)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
