EmailMe Form - ONE TO ONE LAT Report From

Date *

MM / DD / YYYY

School Name *

Learning Assistance Teacher *

School Coordinator *

Report for *

Statistics

Number of regularly attending children in your program: *

What grades are the children in? *

Which items have you assisted with? (Check all that apply.) *

How do you share information with tutors? (Check all that apply.) *

Communication log

Mid-session tutor meetings

End-of-session tutor meetings

Other (please describe in the box below)

Do you have any concerns or comments about the program, volunteers, etc? *

Input for next year's program

Do you plan to facilitate a One To One program at your school again next year?

Would you be willing to attend a district LAT One To One meeting?

If "yes," what time of day would you prefer?

Weekday morning

Weekday lunch (we each pay our way)

Weekday afternoon

Other (below)

We are gathering information about the effectiveness of the 8-week programs currently operating in our districts.

If your school is currently running sessions of less than 10 weeks, please let us know: has this decision been made by the school staff, or the One To One Coordinator?

School Coordinator

School staff

Joint decision

Don't know; that's how it was when I started

Are there reasons you would want to continue using 8-week sessions?

Please share anything else you feel may be helpful for planning next year's program.

Thanks again for taking the time to fill in this form. Please let us know what you think.

Easier than paper

Not too painful

I prefer paper

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