LAMP Fellow Activities Report Form

This form should only be completed by LAMP Fellows who have completed paid work for the specified time period.

Pay Period End Date*
Please make sure you have selected the correct dates!
Your Name*
First Last
Your Email Address*
Did you attend a LAMP Fellows meeting this pay period?*
- Yes
- No
Did you meet for private appointments with any students or small groups of students?*
- Yes
- No
Individual or Small Group Scheduled Tutoring Session(s) for 1-3 Students*
Please record all individual (or small group) tutoring sessions below. Be sure to provide names for each student you met with and briefly describe the material covered, the duration of the meeting, and any concerns about progress. Click the “+” button to add an additional row for each tutoring session. ROUND THE DURATION OF THE TUTORING SESSION TO THE NEAREST 0.25 HRS.
Date of Session (mm/dd/yy) Name of Student(s) (First & Last) Duration of Session (hrs) Topic Comments/Concerns (optional)
ALL Other LAMP Activities
Please list all LAMP Training Meetings, workshops presented, project work and any other LAMP work that you did in this pay period. Click the “+” button to add an additional row for each activity tutoring session. ROUND THE DURATION OF THE ACTIVITY TO THE NEAREST 0.25 HRS. Keep in mind that if you attend an 80 minute class this must be recorded as 1.25 hrs on your time sheet.
Date of Activity (mm/dd/yy) (please enter each date individually) Duration (in hrs) Type of Activity
Total Number of Hours (rounded to the nearest 0.25 hour)*
This number needs to match with the number on your Garnet Gateway timesheet!
Today's Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Date of Session (mm/dd/yy)	Name of Student(s) (First & Last)	Duration of Session (hrs)	Topic	Comments/Concerns (optional)

Date of Activity (mm/dd/yy) (please enter each date individually)	Duration (in hrs)	Type of Activity