Dental Health Services Portal

Return to Work Survey 2024-25 School Year

Please complete the Return to Work Survey for the 2024-25 School Year. Your input is valuable for helping make sure we place you with the most appropriate placement. If you have any questions, please reach out to your Admin team. Thank you.

First Name *

Last Name *

Phone Number *

Email *

I will be returning to work for the 2024-25 school year. *

A. Yes

B. No

I would like to be placed with a specific student (list the students full name)

I would prefer to be placed at a specific school (list school name)

I prefer to be placed with a student in the following grades: *

A. Grades K-5

B. Grades 6-8

C. Grades 9-12+

D. Any grade is fine

I would like to work Full-Time or Part-Time, or as a sub *

A. Full-Time

B. Part-Time

C. Sub

On Monday, I am available to work the following hours: *

On Tuesday, I am available to work the following hours: *

On Wednesday, I am available to work the following hours: *

On Thursday, I am available to work the following hours: *

On Friday, I am available to work the following hours: *

I would like to work as a sub, and I can work the following days and hours: (please list each day Monday-Friday, including the times you are available to work)

Please provide us with any feedback that you feel is important to share regarding placement for the 2024-25 school year.

I will not be returning to work for the 2024-25 school year, and I will submit my letter of resignation.

Thank you for submitting your survey. This will better help us with making the best placement for you for the 2024-25 school year. Please feel free to contact the Early Strides Admin office should you have any other questions.

Today's Date *

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Return to Work Survey 2024-25 School Year

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