Shalom Manor - Regular Shift Availability Form February 9 to March 8, 2015 Check the shift allocation box(es) indicating that you are available to work. WK 1 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Feb 9 Feb 10 Feb 11 Feb 12 Feb 13 Feb 14 Feb 15 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Feb 16 Feb 17 Feb 18 Feb 19 Feb 20 Feb 21 Feb 22 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Feb 23 Feb 24 Feb 25 Feb 26 Feb 27 Feb 28 Mar 1 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Mar 2 Mar 3 Mar 4 Mar 5 Mar 6 Mar 7 Mar 8 AM D PM E N WK 2 AM D PM E N WK 3 AM D PM E N WK 4 AM D PM E N Name: _____________________________________________ RN/RPN E-mail PSW E-mail Date: ______________________________ The ability to fill in the form and to e-mail will only work if you have Adobe Reader 9 or higher. If you are unable to send via the "E-mail" buttons, you can save to your computer and send as an attachment to [email protected] (RN/RPN) or to [email protected] (PSW) or you may print and submit a hard copy or fax a copy to 905-945-1211. Thank you! Due Date: December 22, 2014
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