School Class Schedule Submission Form
Employee Name:
My Home Location is:
Please select
39th/Holistic
Main Street
Newberry
Springhill
Surgicenter
Please select
I still have 2 full days of availability Monday-Friday
Yes
No
Please select which days you have full availability
(Must be minimum of 2, not including Saturdays)
:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Date Classes Start:
MM
/
DD
/
YYYY
Date Classes End:
MM
/
DD
/
YYYY
Exam Dates/Times
(if known)
:
Please attach documentation of your class schedule:
Delete all uploads
Choose files or drag here
Comments
(if applicable)
:
Electronic Signature:
Clear
Date
04
/
22
/
2025
Submit my availability!
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