June 2017 Availability Submission Form

Please complete and submit your availability for shifts in June 2017 before 11:59pm on April 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 April 10th will qualify you for our Early Bird Drawing for a $15 Wal-Mart Gift Card.

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

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Sat

        01 - Jun *
 
02 - Jun *
 
03 - Jun
 
04 - Jun
 
05 - Jun
 
06 - Jun
 
07 - Jun *
 
08 - Jun *
 
09 - Jun
 
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12 - Jun
 
13 - Jun
 
14 - Jun
 
15 - Jun *
 
16 - Jun *
 
17 - Jun
 
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20 - Jun
 
21 - Jun
 
22 - Jun *
 
23 - Jun
 
24 - Jun
 
25 - Jun
 
26 - Jun
 
27 - Jun
 
28 - Jun *
 
29 - Jun *
 
30 - Jun
 
 


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.