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Student On-Site Activity
Activity
*
Tuesday One-on-One
Wednesday One-on-One
Video Club
Tech Club
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Name
*
First
Last
Email
*
Who are you working with this week?
*
First
Last
Date of On-Site Activity
*
Did you bring homework tonight?
*
Yes
No
Did you and your volunteer review your Student Portal?
*
Yes
No
On what will you and your volunteer be working on THIS week?
*
Homework due tomorrow
Homework due later this week
Homework due next week
Quiz/Test tomorrow
Quiz/Test later this week
Quiz/Test next week
Project due this week
Project due next week
College applications
High School applications
Financial Aid/scholarship applications
Personal conflicts (friends, parent/guardian, sibling, teacher, boyfriend/girlfriend)
Discuss extracurricular activities
Club activities
Other
If other, what?
What's in your calendar for THIS week?
*
Homework
Quizzes
Tests
Projects
Extracurricular activities
Social activities
What are your biggest challenges right now?
*
Homework
Tests/Quizzes/Projects
Overall grades
Extracurricular activities
Personal relationships (parents/guardians, siblings, friends, boyfriend/girlfriend)
Teacher, counselor, principal, etc
School
None
Other
Other challenge?
Any recent accomplishments or goals achieved?
*
Turned in all homework last week
Good grade on a quiz or test
Good grade on a project
Perfect attendance
Sporting event
Good report card/progress report
Other
Other accomplishment or goal?
What can we do to improve your experience at Cabrini Connections?
*
What, if any, are your dinner suggestions?
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