HICS Non-Clinical Staff Redeployment Registration Form

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Please complete the following availability form. Thank you.

(9 digits – ie: 12345-0000)
Please provide all details below.
Please indicate which days of the week you can work:
 (check all that apply)
Please indicate which shift you are able to work:
(check all that apply)
Please indicate the MSK location(s) that you are able to work:
 (check all that apply)
Please provide detailed answers when appropriate.
Are you fluent in any other languages?