November 2017 Availability Submission Form

Please complete and submit your availability for shifts in November 2017 before 11:59pm on October 14th, 2017. Enter any specific requests for the Staffing Department into the Availability Notes section. You will receive confirmation by email. Early submissions sent prior to October 10th will qualify you for our Early Bird Drawing for a $25 Sheetz Gift Card.

Click here if you would prefer to complete and return a printable version.

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Sat
      01 - Nov *
 
 02 - Nov *
 
 03 - Nov *
 
 04 - Nov
 
05 - Nov
 
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 07 - Nov
 
 08 - Nov
 
 09 - Nov *
 
 10 - Nov
 
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 16 - Nov *
 
 17 - Nov *
 
 18 - Nov
 
19 - Nov
 
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 24 - Nov
 
 25 - Nov
 
26 - Nov
 
 27 - Nov
 
 28 - Nov
 
 29 - Nov *
 
 30 - Nov *
 
    


Name:  
Email:  
Phone:  
Notes:  

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Priority given to nurses that turn availability in on time and offer a "fair share" of weekend availability.