COVID-19 Redeployment Sign-Up
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Name *
Regular or Temporary Appointment *
Current Job Title *
Department Name *
Supervisor Approval to be Redeployed *
Email *
UMID Number *
Cell Number / Pager *
Do you need accommodations during your redeployment?
Supervisor Name *
Supervisors Number /Pager *
Do you currently or have you ever worked in any of the following roles? *
Required
Past Clinical Area of Expertise?  (check all that apply)
If asked to be redeployed, what areas would you be interested in helping?
Day Available to Work (check all that apply) *
Required
Shift Availability (check all that apply) *
Required
We continue to assess needs in both clinical and non-clinical roles, and appreciate everyone’s patience. Once you complete the redeployment request form, and an assignment is available, you will be notified by email.
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