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Employees are encouraged to call us regularly at (805) 384-0983 and speak with a Family Support Specialist to update availability.

Before completing this optional form, please review our Weekly Recruitment Board.

😊 Thank you for supporting our families!

Name *

First

Last

Employee Number *

Email *

Phone *

Best way to reach you this week? *

• Call me
• Text me at the number above
• Email me

My Current Work Availability is: *

• OPEN! Looking to work more right now
• Limited - see changes below
• FULL - Not open to additional work
• Other (describe below)

Select one

WEEKEND Availability (Saturday & Sunday) *

Please list start & end times for each day (eg. Saturday=Any, Sunday=12-5PM) Type N/A if you marked "Full" above

Weekday Availability (Monday - Friday) *

Please list start & end time for each day (eg. Mon=2-8PM, Tues=No, Friday=Any) Type N/A if you marked "Full" above

Additional Details (Optional)

You may want to explain: when the above availability might change the types of individuals you can support cities you are willing to work in, etc....

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