STERLING SERVICES Schedule Request
First Name
Last Name
E-mail Address
Re-enter E-mail Address
Phone Number

By submitting this form, you agree that if your request is approved, you will assume "ownership" for the shifts you request, and will be responsible for either 1) working the shift or 2) finding a suitable replacement worker for your shift(s) should you be unable to fulfill your shift assignment.

If your shift assignment is approved, you will receive a confirmation of your schedule via e-mail no later than 5 pm on the Monday before the scheduled week.


This request is for the week starting on Monday:    

Monday (check all that apply)

Shift One 7:00 am to 10:15 am                      Shift Three 8:00 pm to midnight

Shift Two 12:30 pm to 2:30 pm                    

Comments or special requests:


Tuesday (check all that apply)
Shift One 7:00 am to 10:15 am                     Shift Three 8:00 pm to midnight
Shift Two 12:30 pm to 2:30 pm                   

Comments or special requests:


Wednesday (check all that apply)
Shift One 7:00 am to 10:15 am                     Shift Three 8:00 pm to midnight
Shift Two 12:30 pm to 2:30 pm                   
Comments or special requests:

Thursday (check all that apply)
Shift One 7:00 am to 10:15 am                     Shift Three 8:00 pm to midnight
Shift Two 12:30 pm to 2:30 pm                   
Comments or special requests:

Friday (check all that apply)
Shift One 7:00 am to 10:15 am                     Shift Three 8:00 pm to midnight
Shift Two 12:30 pm to 2:30 pm                   
Comments or special requests: