TCP Shift Supervisor Report Submission

Please utilize this form to submit Shift Supervisor Reports (SSR) on the first day of each month for the previous month (ex. May's Shift Supervisor Report should be submitted by 5pm on June 1st).

Please contact Kadi Koroma via email (kkoroma@community-partnership.org) if there are any questions/concerns regarding Shift Supervisor Reports or the submission process. Thank you!

Provider & Program Information

Name of Staff Member Submitting SSR

Please provide the name of the staff member submitting the Shift Supervisor Report.

Email of Staff Member Submitting SSR

Please provide the email address of the staff member submitting the Shift Supervisor Report.

Provider Name

Program Name

Please select the program for which the SSR is being submitted.

Program Point-of-Contact Name

Please provide the name of the point of contact for this program.

Program Point-of-Contact Email

Please provide the email address of the point of contact for this program.

Shift Supervisor Report Information

Month of Report

Please select the month for which the Shift Supervisor Report is being submitted.

Year of Report

Please select the year for which the Shift Supervisor Report is being submitted.