Literacy Volunteers of Middlesex
P.O. Box 418, 11 Stephen Street.  South River, NJ 08882
Tel:(732) 432 8000 | Fax:(732) 432 8189 | E-mail:info@lvmnj.org

Short & Long Term Student Goals

Please note:You may submit this form using the submit button below or print it, fill it out and either mail the form to us or fax it.

Please Check Off The Appropriate Column For All Goals Set and Met During The Past Month
Tutor's Name
Month of Report
Tutor's Email
 
Family/Self
Goals Set
Goals Met
Parenting
1a. Read to Child
1b. Help Child with Homework
1c. Part. in Child's School Activities
1d. Meet with Child's Teacher
1e. Read Note from Child's School
1f. Write Note to Child's School
Goals Set
Goals Met
Life Skills
1g. Identify Personal Learning Strengths
1h. Talk with Family/Friends in English
1i. Open Checking/Savings Account
1j. Write Check
1k. Read/Pay Bill
1l. Understand Bank Statement
1m. Balance Checkbook
1n. Fill Out Credit Loan Application
1o. Fill Out Tax Form
1p. Fill Out Insurance Form
1q. Compare Prices for Goods/Services
1r. Complete Lease/Rent Agreement
1s. Use Dictionary
1t. Learn to Alphabetize
1u. Read Recipe
1v. Read Menu
1w. Read Food Label
1x. Read Newspaper
1y. Understand Medical/Dental Form
1z. Read Medical Label
1aa. Use Calculator
1ab. Write Telephone Message
1ac. Write Letter/Note
1ad. Read Story/Magazine/Book
Goals Set
Goals Met
Math/Computer
1ae. Learn Basic Computer Skills
1af. Count/Use Coins & Currency
1ag. Learn to Budget
1ah. Understand Addition/Subtraction
1ai. Understand Measurements
1aj. Understand Multiplication/Division
Goals Set
Goals Met
Writing/Grammar
1ak. Complete Chap./Sect. of Work Book
1al. Learn Correct Sentence Structure
1am. Learn Punctuation
1an. Increase Vocabulary
1ao. Improve Spelling
1ap. Write Story, Essay, Poem, Journal
Student's Name
Today's Date
Student's Email
 
Worker
Goals Set
Goals Met
Worker
2a. Read Classified Ad's
2b. Write Resume
2c. Fill Out Job Application
2d. Have Job Interview
2e. Pass Test For Job
2f. Gain Employment
2g. Read Work-Related Materials
2h. Write Memo/Report
2i. Speak more Clearly to Coworkers
2j. Obtain Promotion
2k. Apply for Public Assistance
2l. Removed from Public Assistance
Goals Set
Goals Met
Education/Training Goals
2m. Enter Job Training Program
2n. Enter Adult Basic Education Program

2o. Enroll in classes: ESL, GED, VoTech, etc.)
2p. Enter ESL Conversation Group
2q. Complete Classes or Conversation Group
2r. Obtain GED/Adult H.S. Diploma
Community
Goals Set
Goals Met
Library
3a. Apply for Library Card
3b. Read in Library
3c. Use Card Cat./Computer to Find Books
3d. Check Out Books/Material
Goals Set
Goals Met
Community Resources
3e. Read Map
3f. Read Bus or Train Schedule
3g. Use Phone Book
3h. Read Street Signs
3i. Use Postal Services
3j. Locate/Use Community Agencies/Services
Goals Set
Goals Met
Citizen
3k. Apply for Driver's Learning Permit/License
3l. Receive Driver's license
3m. Apply for U.S. Citizenship
3n. Pass U.S. Citizenship Exam
3o. Register to Vote/Read Ballot and Vote
3p. Join Civic/Community Group
3q. Read Legal Document
Other
Goals Set
Goals Met
Please Explain
4a.
4b.