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Please let us know your availability to assist us with rostering and recruitment of new staff.

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* 1. Your Name:

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* 2. Which days are you available to work? Please check all that apply.

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* 3. Which centres/locations are you available to work in? Please check all that apply.

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* 4. How many hours per week are you available to work?

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* 5. Please nominate the shift times that you are available for. Please check all that apply.

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* 6. Are there any limitations (such as injuries etc) or other matters that we should be aware of that may impact your ability to accept particular shifts?

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* 7. Is there any additional information that you would like to provide that you think will be helpful?

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