Name *
Name
Phone Number
Phone Number
Address
Address
Emergency Contact Phone Number
Emergency Contact Phone Number
Availability
Please enter your work availability below by checking the boxes if you are available to work the shift listed.  Shifts will fall within the hours listed below, but are subjected to change based on day of shift. By checking the boxes, you are informing me that you are indeed available to work on said day, at anytime that falls within the shift time range listed above.
Monday *
3PM - 10PM
Tuesday *
3PM - 10PM
Wednesday *
3PM - 10PM
Thursday *
3PM - 10PM
Friday *
2 shifts AM | 12 - 5 PM | 5 - 11
Saturday *
3 shifts AM | 11:30 - 5 MID | 3 - 10 PM | 5 - 11
Sunday *
3 shifts AM | 11:30 - 5 MID | 3 - 9 PM | 5 - 10