January 2021 Availability Submission Form

Please complete and submit your availability for shifts in January 2021 before 11:59pm on November 14th, 2020. Enter any specific requests for the Staffing Department into the Availability Notes section. You will receive confirmation by email.

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

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

          01 - Jan
 
02 - Jan
 
03 - Jan
 
04 - Jan
 
05 - Jan
 
06 - Jan
 
07 - Jan
 
08 - Jan
 
09 - Jan
 
10 - Jan
 
11 - Jan
 
12 - Jan
 
13 - Jan
 
14 - Jan
 
15 - Jan
 
16 - Jan
 
17 - Jan
 
18 - Jan
 
19 - Jan
 
20 - Jan
 
21 - Jan
 
22 - Jan
 
23 - Jan
 
24 - Jan
 
25 - Jan
 
26 - Jan
 
27 - Jan
 
28 - Jan
 
29 - Jan
 
30 - Jan
 
31 - Jan
 
           


Name:  
Email:  
Phone:  
Notes:  

* Register For Continuing Education Courses
No continuing education courses are available.
Priority given to nurses that turn availability in on time and offer a "fair share" of weekend availability.