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Employee Change Notice
NOTE: A new form must be submitted, providing a 14 day notice, for any change in availability.
First Name
*
Last Name
*
Effective Date of Change
*
🛈
+
Email Address
*
Phone Number
*
Mobile Carrier
*
AT&T
Boost Mobile
Consumer Cellular
Cricket
MetroPCS
Sprint
Straight Talk
T-Mobile
TracFone
U.S. Cellular
US Mobile
Verizon
Virgin Mobile
Other
Other
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Please select the shifts that you are available to work for each day of the week. Once a shift has been selected, you will be able to adjust the hours available.
Monday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Tuesday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Wednesday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Thursday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Friday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Saturday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Sunday
*
1st Shift: 6:00 am - 3:00 pm
2nd Shift: 2:00 pm - 11:00 pm
Overnight: 9:00 pm - 7:00 am
Not Available
1st Shift Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
1st Shift End Time
*
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
2nd Shift Start Time
*
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
2nd Shift End Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight Start Time
*
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
Overnight End Time
*
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
Comments:
I agree the above information is correct. I also agree to receive text messages and emails from STAR Services in regards to my job assignment and other employment-related issues.
Signature
*
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