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Call 215-382-6680
Intern and Unlicensed Staff Supervisory Preference Form
Please indicate your preferred time slots by selecting your 1st choice and 2nd choice. As you know, scheduling is an awesome task. We need as much flexibility as possible while trying to accommodate programmatic requirements and individual needs. Please respond to the following items and return to the Academic Administrator.
Name
*
First
Last
Email
*
Preferred contact number
Preferred day(s) of the week and time(s). Please pick your 1st choice.
*
Monday 12-3:00 pm
Tuesday 12-3:00 pm
Wednesday 12-3:00 pm
Thursday 12-1:00 pm
Friday 12-2:00 pm
Preferred day(s) of the week and time(s). Please pick your 2nd choice.
*
Monday 12-3:00 pm
Tuesday 12-3:00 pm
Wednesday 12-3:00 pm
Thursday 12-1:00 pm
Friday 12-2:00 pm
Other preferred day(s) of the week and time(s) please specify.
Other preferred day(s) of the week and time(s) please specify.
Location requested-please pick your first choice.
*
Online/Virtual
University City
Center City
Blue Bell
Bryn Mawr
Exton
Lawrenceville
Oxford Valley
Paoli
Voorhees
Wynnewood
Location requested- please pick your second choice (if needed).
*
Online/Virtual
University City
Center City
Blue Bell
Bryn Mawr
Exton
Lawrenceville
Oxford Valley
Paoli
Voorhees
Wynnewood
Please specify if there is a satelite office that is closest to your home or work.
Supervisory issues that may impact your assignment:
Date
MM slash DD slash YYYY
Δ