Shift Attendance Tracking Form
Date of Incident
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Counselor's First & Last Name
*
Position
*
select one
Volunteer
Part-time Counselor
Full-time Counselor
Program Specialist
Trainee
Veteran Care Coord
ALICE Care Coord
Program Staff
.
Submitting Supervisor
*
select one
Carrie Tyree
Heather Maros
Meagan Sellards
Paulina Lewis
Stephen Sardelis
Counselor's Direct Supervisor
*
select one
Carrie Tyree
Heather Maros
Meagan Sellards
Paulina Lewis
Stephen Sardelis
Shelby Smith
Victoria Greer
Counselor was:
*
Late
Absent
Left Early
Other
Counselor contacted off-site or their direct supervisor
*
Yes
No
Description of Incident
*
Did they page the OSS? If late, how late?
Direct Supervisor's Comments
Counselor's Comments
Provide a brief description of events and, if necessary, provide documentation below.
Relevant Documentation
Upload
Doctor's note, jury duty notice, etc.
Cancel
of
Counselor's Initials & Date
Submitting Supervisor's Initials & Date
Action Type
Shift Report
Shift Report
Submit
Should be Empty: