PA Registry Provider Work Availability Update

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Please correct the field(s) marked in red below:

The Monterey County Public Authority strives to keep an accurate provider Registry in order to match available providers who want to work with consumers who need assistance. Please help keep our Registry accurate and up to date. Registry Providers are required to update their work availability between the 1st and the 5th of every month. Providers that do not update their work availability will not be referred.
Changes?
Personal Information
 *

Are you available to work for NEW consumers?
(If no, list names of consumers you currently work for.)

Is there anything you would like the Public Authority staff to be aware of this month?

Work Availability Update (Click the days and times you are available to work for NEW consumers)
Hours per week you are willing to work: (Please select only the days and times you are committed to working)
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
7am-12pm
12pm-5pm
5pm - 8pm

Willing to provide transportation?

Interested in training?
Willing to be on call for emergencies?
Willing to Work Outside of your Preferences?
(For example, would you be willing to work for a smoker, someone with pets, or another area of the county? This may result in your being referred to more consumers)

Please enter only the days/shifts you are willing to accept work. Entering every shift will not guarantee you will be referred.Any provider who agrees to work a day and/or shift, and refuses to accept work for that day and/or shift will receive a warning letter. After two warning letters, providers will be required to meet with the Public Authority social worker before being referred to new clients. Failing to meet with the Public Authority social worker will result in your profile being placed on hold with the Registry. You will not be referred for any work from the Registry until the hold is removed.

By Pressing the SUBMIT button, you agree to work the days and shifts you indicated. Pressing SUBMIT acts as your electronic signature.

  1. To receive a copy of your submission, please fill out your email address below and submit.
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