Scheduling Form
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What is your name? *
Last, First
Email Address *
Please select your level in the internship. *
What type of request is this? *
Required
Add a shift
If you wish to add an additional shift, please complete this portion.

Disclaimer: If the shift you are attempting to add is in the NEXT 48 HOURS, please contact your DC directly for approval of shift after you submit this form.
Shift
Example: Thursday, March 6th 7pm - 11pm
Rescheduling
If you are rescheduling, please complete this portion.

Please note that reschedules require AT LEAST 48 hours notification.

If the shift you are attempting to reschedule is LESS THAN 48 hours away, contact your DC directly via e-mail or GoogleVoice.

There is no guarantee of shift approval if request is made in LESS THAN 48 hours.
(Original) Shift
Example: Thursday, March 6th 7pm - 11pm
(Desired) Shift
Example: Thursday, March 6th 7am - 11am
(Alternate) Shift
Example: Thursday, March 6th 3pm - 7pm
Monthly Shift Requests and Make-Up Shifts
If you wish to request Monthly shifts, Make-up Shifts or Shadow Shifts, please complete this portion.

Please remember that requests are required to be checked ONCE every 48 hours by the Department Coordinator(s).
List your Desired Shifts (1 shift / week)
Example: Thursday, March 6th 7am - 11am
List your Alternate Shifts (1 shift / week)
Example: Thursday, March 6th 3pm - 7pm
Additional Comments
Special Notes regarding SHIFT REQUESTS only
Submit
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