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E89-019/94-012/99-008 Shift Assignment Form

E89-019 and E94-012 Shift Request Form


You may now sign up for September/October shifts!



Name : E-mail :
Institution :
Address (for publication) :
Working shifts? Other responsibility? :
Total number of shifts (desired = 10, minimum = 5) :
Shifts starting : and ending : Shift preference : Number of shifts :
PERIOD #1 :
PERIOD #2 :
PERIOD #3 :
If you need more periods, please submit another form

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