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Availability agreement

Availability agreement 2025

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The document is an Employee Availability Agreement form for prospective employees to fill out their personal information, availability for shifts, and preferences regarding work conditions. It includes sections for contact details, start date, current employment status, preferred working hours, and willingness to travel. The form also captures the applicant's signature to acknowledge their availability.

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Click ‘Get Form’ to open the availability agreement in the editor.
Begin by filling out the top portion of the form. Enter your last name and first name, followed by the name of the person who referred you and how many years of experience you have.
Provide your address, city, zip code, available start date, phone number, and cell phone number. Indicate if you are currently working by checking 'Yes' or 'No'.
Fill in your date of birth and circle the shifts you are available for: 7am-3pm, 7am-7pm, 3pm-11pm, 7pm-7am, or 11pm-7am. Also indicate your availability for weekends and whether you prefer full-time or part-time work.
Specify how many miles you are willing to travel and confirm if you will travel. Mark the days you are available to work.
Indicate your preferences regarding patient types (Peds, Adults) and any other relevant information. Finally, sign and date the form at the bottom.

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