Schedule Availability – AmbuServe Ambulance Service

Name
First Last
Email
Preferred Locations*
- Select All
- Gardena
- Orange
Please indicate each of the locations you are able to work.
Preferred Weekly Shift Rotation Schedule Type*
- One 24-hour shift and two 8-hour shifts per week.
- Four 10-hour shifts per week.
- I am unable to work either of these shift rotations and will therefore request to be reclassified as a part-time employee below.
Please indicate your preference for a weekly shift rotation schedule type.
Schedule Availability*
- Select All
- Monday, 24-hour shift
- Monday, Morning 8-hour shift
- Monday, Afternoon 8-hour shift
- Monday, Night 8-hour shift
- Tuesday, 24-hour shift
- Tuesday, Morning 8-hour shift
- Tuesday, Afternoon 8-hour shift
- Tuesday, Night 8-hour shift
- Tuesday, 24-hour shift
- Tuesday, Morning 8-hour shift
- Tuesday, Afternoon 8-hour shift
- Tuesday, Night 8-hour shift
- Wednesday, 24-hour shift
- Wednesday, Morning 8-hour shift
- Wednesday, Afternoon 8-hour shift
- Wednesday, Night 8-hour shift
- Thursday, 24-hour shift
- Thursday, Morning 8-hour shift
- Thursday, Afternoon 8-hour shift
- Thursday, Night 8-hour shift
- Friday, 24-hour shift
- Friday, Morning 8-hour shift
- Friday, Afternoon 8-hour shift
- Friday, Night 8-hour shift
- Saturday, 24-hour shift
- Saturday, Morning 8-hour shift
- Saturday, Afternoon 8-hour shift
- Saturday, Night 8-hour shift
- Sunday, 24-hour shift
- Sunday, Morning 8-hour shift
- Sunday, Afternoon 8-hour shift
- Sunday, Night 8-hour shift
Indicate the days you are available. Full-time employees must be available to work 40 hours per week. Shift rotations can consist of either one 24-hour shift and two 8-hour shifts or five 8-hour shifts. Please provide us with your availability with a minimum of 40 hours.
Employee Classification Status*
- I am able to work full-time based on the shifts set forth above, I am providing my shift availability of 40 hours per week and I wish to remain classified as a full-time employee.
- I am NOT able to work full-time based on the shifts set forth above, so I am providing my shift availability of LESS than 40 hours per week and I am hereby requesting to be reclassified as a part-time employee to be effective as of the beginning of the next pay period.
Please indicate your preference for your employee classification status of either Full-Time or Part-Time. I understand and agree that if I am classified as a part-time employee, I will not participate in the Company's employment benefits for full-time employees including such benefits like health, dental and vision benefits and paid time off benefits.
Name
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