You can always press Enter⏎ to continue
Vision Therapy Student Availability Form

Vision Therapy Student Availability Form

Please complete this form to indicate your availability. It is super important for us to know the schedule you can commit to each week so that we can ensure our vision therapy patients have a variety of times available to get their life changing care. We appreciate your dedication to this important role, thank you! 
6Questions

HIPAA

Compliance

  • 1
    Press
    Enter
  • 2
    Check all months that you will have the availability that you indicate in this form.
    Press
    Enter
  • 3
    All students are required to work at least one evening shift and every other Saturday, but you are welcome to work more if you have that availability.
    1 of 6
    Press
    Enter
  • 4
    For example, if you selected that you are available to work every Monday and are unavailable to work every Tuesday, and you are planning a vacation to be gone Monday and Tuesday, you would only need to list the date of the Monday you needed off.
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 5
    With exception to illness or unexpected absences/call offs-we can find coverage for those shifts. You must only find your own coverage if you realize you need a preplanned day off that you did not request before the schedules were made.
    Press
    Enter
  • 6
    (with exception to vacations/preplanned time off)?
    Press
    Enter
  • Should be Empty:
Question Label
1 of 6See AllGo Back
close