Student On-Site Activity

Activity*
- Tuesday One-on-One
- Wednesday One-on-One
- Video Club
- Tech Club
- Art Club
- Writing Club
Name*
FirstLast
Email*
Who are you working with this week?*
FirstLast
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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