COVID-19 Labor Pool Availability
Please complete this updated form to be added to the Labor Pool. In the event an opportunity arises for you, you will be contacted with more information. This form needs to be completed even if you already submitted on the previous version. If you are currently working a Labor Pool assignment, please complete this form. If you are currently re-deployed within your own department or area (Nursing, HMG), you do not need to complete this form. Once you complete this form, you do not need to complete it again.
Employee ID (Full 7 digits) *
First Name *
Last Name *
Phone Number *
Email Address *
Your Position *
Your Department *
Your Supervisor's Name *
Start Date of Availability *
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/
DD
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YYYY
Check which days of the week you are available to work *
Required
How many hours a week are you available to work a Labor Pool assignment? *
Are you available to work evenings? *
Are you available to work nights? *
Required
Below are departments with a high need for assistance. Please check any department you are willing to assist.
Please check the appropriate box - you must select one in order to be entered into the Labor Pool. *
Required
Any Additional Notes (skills, previous experience, etc)
Submit
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