Surplus Staffing Offers Form

Thank you for your interest in supporting the COVID & MonkeyPox Testing & Vaccine clinics. Please fill out this form whenever you have availability; our staffing team will only reach out if there is a matching assignment to confirm your shift. See the following clinics and days of operations below:


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COMMUNITY: COVID & MonkeyPox VACCINATIONS AND TESTING


Location: Redwood City (Testing & Vaccination)

Hours of Operation: Monday- Sunday 0845-1715

Mon-Sun Testing; Thr, Fri and every other Sat for Vaccinations

Address: 550 Broadway Street


Location: Palo Alto (Vaccinations only)

Hours of Operation: Monday -Friday 1000-1830

Mon, Tue, Tur, and Fri Testing; Tue Vaccinations

Address: 213 Quarry Road, Palo Alto (Neuroscience)


Location: East Palo Alto (Vaccinations only)

Hours of Operation: Saturday 1000-1830

Address: 2021 Euclid, GHJ, Ground Floor, East Palo Alto (Woodland)


Location: Emeryville (Testing & Vaccines)

Hours of Operation: Monday, Tuesday, Friday 0730-1600

Wed and Thu Vaccinations; Mon, Tue & Fri Testing

Address: 5818 Peladeau Drive


Location: San Jose (Testing & Vaccines)

Hours of Operation: Monday - Friday 0845-1715

Mon, Tue, Wed, Fri Testing; Wed and Thu Vaccinations

Address: 2587 Samaritan Drive (Drive Thru Parking Garage)


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EMPLOYEE: COVID TESTING AND TRIAGE

Location: Palo Alto (Triage)

Hours of Operation: Monday - Friday 0645-1700

Address: 180 El Camino Real


Location: Palo Alto (300P)

Hours of Operation: Monday - Friday 0730-1600

Address: 300 Pasteur Drive, Palo Alto

 
 

Please note, if you are an APP (Nurse Practitioner or Physician Assistant), please submit your availability through the "APP Deployment Availability Offer Form" instead. https://app.smartsheet.com/b/form/41b39f83968a4cb9a29075ca3584b3ff

 
 
 
 
 
 

Select all regions that you're willing to work

 
 

Please indicate if you have any of the experience in the dropdown options below

 

Have you previously worked at one of the COVID/vaccination sites? If so, please indicate the role(s) you have experience performing.

 

Please confirm that you have notified your manager/supervisor that you are available for an extra shift to support COVID operations