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Date of Report:

Name of Supervisor:

Date of Enrollment:

Name of Student:

Age of Student:

Birthday of Student (Just the Month):

Number of Lesson Studied:

Length of Time Spent on This Lesson:

Was the lesson completed?

What goals were hoped for this week?

What goals were accomplished?

What were the strengths of the student this week?

What weaknesses were noticed?

What did the student enjoy; not enjoy?