FACILITY NAME/NUMBER
FACILITY STAFF WORK SCHEDULE (Continued)
Enter Dates of Week
Enter Dates of Week
Enter Dates of Week
For The Month(s)
20
SERVICE AREA AND WORK TITLE
Sun
Mon Tues Wed Thurs Fri
Sat
Sun Mon Tues Wed Thurs Fri
Sat
Sun Mon Tues Wed Thurs Fri
Sat
3.
Housekeeping (e.g. Maid)
Enter Work Hours
Enter Work Hours
Enter Work Hours
Employee Name(s)
4.
Administrative/Clerical Staff
Employee Name(s)
5.
Transportation/Maintenance
Employee Name(s)
6.
Other
(specify other service areas below)
Employee Name(s)
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