LPT Vaccinator Availability Name* First Last Email* If you know it, please put your assignment number. If you do not know/have an assignment number, you can leave this blank. How many hours a week can you commit to?*When can you work? please select as many as applicable.*These shifts match the shifts our vaccination centres generally request, with staff working one, two or three 4 hour shifts on a given day depending what the site has available and requires. Select All Monday 08.00 - 12.00 Monday 12.00 – 16.00 Monday 16.00 – 20.00 Tuesday 08.00 - 12.00 Tuesday 12.00 – 16.00 Tuesday 16.00 – 20.00 Wednesday 08.00 - 12.00 Wednesday 12.00 – 16.00 Wednesday 16.00 – 20.00 Thursday 08.00 - 12.00 Thursday 12.00 – 16.00 Thursday 16.00 – 20.00 Friday 08.00 - 12.00 Friday 12.00 – 16.00 Friday 16.00 – 20.00 Saturday 08.00 - 12.00 Saturday 12.00 – 16.00 Saturday 16.00 – 20.00 Sunday 08.00 - 12.00 Sunday 12.00 – 16.00 Sunday 16.00 – 20.00 Which sites are you happy to work at- please indicate all that apply* Select All Any site Peepul Centre Loughborough Fielding Palmer Coalville