Employee Availability Form
Additional Shifts
Name
*
First Name
Last Name
Email
*
A copy of this form will be emailed to you once submitted
Are you available to work extra shifts this coming week?
*
Yes
No
Monday
*
0630 to 1830
1830 to 2230
2230 to 0630 (following Day)
Monday other
Not available
Monday Other
*
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
Until
until
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
Tuesday
*
0630 to 1830
1830 to 2230
2230 to 0630 (following Day)
Tuesday other
Not available
Tuesday Other
*
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
Until
until
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
Wednesday
*
0630 to 1830
1830 to 2230
2230 to 0630 (following Day)
Wednesday other
Not available
Wednesday Other
*
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
Until
until
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
Thursday
*
0630 to 1830
1830 to 2230
2230 to 0630 (following Day)
Thursday other
Not available
Thursday Other
*
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
Until
until
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
Friday
*
0630 to 1830
1830 to 2230
2230 to 0630 (following Day)
Friday other
Not available
Friday Other
*
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
Until
until
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
Saturday
*
0630 to 1830
1830 to 0630 (following Day)
Saturday other
Not available
Saturday Other
*
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
Until
until
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
Sunday
*
0630 to 1830
1830 to 0630 (following Day)
Sunday other
Not available
Sunday Other
*
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
Until
until
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
Comments
Submit
Should be Empty: