Shift Form | B.C. SOLUTIONS

Thank you for choosing B.C. Solutions. Please complete this form so we can match you with the best-qualified staff.

Facility Details

Facility name?

Facility Address?

Facility Phone number?

Unit/ Department?

Contact Person(s)

Contact number?

How many position(s) are needed to be filled?

Expected date(s), shift times, and duration?

Number of shifts per week?

Drug Screen Required?

Preferred or Required training?

Any Additional Facility-Specific Requirements?

Preferred Bill Rate?

Billing Contact Person?

Billing Email Address

Invoicing Frequency? (Weekly, Biweekly, Monthly)

Invoice Frequency

Any questions or concerns?

By submitting a staffing request through this portal, the facility acknowledges and agrees to B.C. Solutions' Terms & Conditions.