Supervisor

Advocate's Name

Advocate's Email

Child's Name

Month, Year

How many hours did you spend with your CASA child/ren this month?

How many hours did you spend on this child/ren's education this month?

How many additional hours did you spend on your case this month?

Did you read The Voice?

What continuing education did you do this month?

(Name/date & hours of training; Name of book/movie and number of pages/hours of movie)

How many miles did you drive for CASA activities this month?

Did you have a face-to-face meeting with your Advocate Supervisor this month?

Did you have phone or email contact with your Advocate Supervisor this month?

Other volunteering for CASA this month?

Other volunteering outside of CASA this month?

Signature and Date