Employee Availability Form

First Name *

Last Name *

Email Address *

Support Worker Availability Form:

Please list your start and finish times your available each day or list open, please note a dramatic change in your current availability will require you to make an appointment with management to discuss before completing the form.

example

Monday - 8am till 5 pm then 8pm till 6am

Tuesday- open

Wednesday -8pm till 8am

Week 1 is pay week and week 2 is off pay week

any questions please call the office 0478578804 or 02 61130692 or send an email to hr@kapitalcare.com.au

Availability Days and Times

Monday Week 1 *

Monday Week 2 *

Tuesday Week 1 *

Tuesday Week 2 *

Wednesday Week 1 *

Wednesday Week 2 *

Thursday Week 1 *

Thursday Week 2 *

Friday Week 1 *

Friday Week 2 *

Saturday Week 1 *

Saturday Week 2 *

Sunday Week 1 *

Sunday Week 2 *

Date completed *

My availability will change in the school holidays. *

YesNo

I will submit a new availability for the school holidays at least 2 weeks before *

YesNo

Signature *

Draw signature|Type signatureClear

Name *

Office Use only

Admin to update support workers file and receipt of acknowledgment.

Please load to Support Workers file under Availabilty Form.

Delegate on behalf of KC

Signed by management

Draw signature|Type signatureClear

Date