Employee Availability Form

If you are completing this form to change your availability, pleae check the box below.
Name of Organization *

Availability by Days and Hours

Instructions: For each day of the week, please check off the boxes that apply.
 7 am -10 am9 am -3 pm3 pm - 9 pm9 pm - midnightOvernite
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
If you are only available for partial hours within one of the above time blocks, please specify:
Partial Time Blocks *
Indicate if available on-call for extra shifts *
If your availability is changed, indicate whether one-time, temporary or permanent:
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0/255 characters

Employee Sign-Off

By completing and signing this form you are agreeing to be scheduled for the hours indicated. This is a condition of your employment.
 
Please note: Any change in your availability will require you to complete this form again and have an in-person disucssion with a Supervisor.
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Admin Use

Decision
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