Fire Department Shift Bid Form
Submit your shift preferences for assignment consideration.
Employee Name
*
First Name
Last Name
Employee Number
*
Preferred Station
*
Please Select
Station 1
Station 2
Station 3
Station 4
Station 5
No station preference
Preferred Shift Types
*
Day shift
Night shift
24-hour shift
Availability
*
Available for all listed shifts
Available for selected shift types only
Limited availability
First Preferred Shift Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Second Preferred Shift Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Third Preferred Shift Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rank Your Preferred Shift Patterns
Additional Scheduling Notes
Submit Shift Bid
Should be Empty: