SHIFT / DAYS OFF PREFERENCE SHEET
                     
                   
                Seniority Number:
Name and        Employee #:            
Todays Date:                  
Signature:             Classification: Check One
Lead Date if          Applicable :             Mechanic:    
                Utility:    
Department: City:   Inspector:    
                Stock Clerk:  
1. Please indicate your shift and days off preference below:          
2. Shift selection will be awarded in seniority order          
3. All employees must have a shift preference form on file at all times.        
4. When complete a supervisor must sign the form          
5. Each employee must keep a signed copy for their records.          
6. All froms must be returned prior to any realignment / redeployment / rebid cut-off date.    
7. Anyone who fails to complete a selection form will be assigned the remaining shift     
  and days off at the end of the bid process.            
                   
                   
Choice Shift Days off   Choice Shift Days off        
1st           /   18th           /        
2nd           /   19th           /        
3rd           /   20th           /        
4th           /   21st           /        
5th           /                
6th           /                
7th           /                
8th           /                
9th           /                
10th           /                
11th           /                
12th           /                
13th           /                
14th           /                
15th           /                
16th           /                
17th           /                
                     
    Supervisor Signture:                
    Date: