STAFF REQUEST FORM

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Name *

First

Last

Title *

Company *

Phone *

Email *

Type of Staff Requested *

Number of Staff Needed *

Shifts *

Start Date and Time *

Date

Time

Duration

Additional Information About your staffing Request (If any)

We acknowledge the traditional custodians of the land on which we live and work and pay our respect to Elders past, present and future.

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