Availability Request Change
Please indicate your hours of availability.
Name
First Name
Last Name
Email
example@example.com
Please indicate the date your schedule needs to take affect. ( Note we do need a 2+ week notice and is not automatically approved, some may be denied)
*
-
Month
-
Day
Year
Date
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Additional Information / explination.
*
Reminder: To be eligible for full time benefits you must achieve a 32+ hour average each week. Dropping below that will result in being reduced to Part time.
Signature-
Submit
Should be Empty: