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MOONLIGHTING INSTRUCTIONS: Please Complete and Send the Forms on the Following 6 Pages to the Medical Staff Office at Box MFG 278911. 1) USMC Moonlighting (extra work shift) Request Form, p. 1 of
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How to fill out moonlightingapplication092012doc - urmc Rochester:

01
Start by downloading the moonlightingapplication092012doc form from the URMC Rochester website.
02
Open the form in a compatible program such as Adobe Acrobat or Microsoft Word.
03
Read through the instructions provided on the form carefully to understand the requirements and guidelines for filling it out.
04
Begin entering your personal information in the designated sections of the form. This may include your full name, address, contact details, and social security number.
05
Provide information about your current employment status, such as your job title, employer, and work schedule.
06
If applicable, provide details about any previous moonlighting experience you have had, including dates, locations, and job responsibilities.
07
Fill out the sections related to your availability for moonlighting opportunities. This may involve indicating the days and times you are available, as well as any restrictions you may have.
08
Make sure to carefully review all the information you have entered to ensure accuracy and completeness.
09
If required, sign and date the form to certify that the information provided is accurate and complete.
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Submit the completed moonlightingapplication092012doc - urmc Rochester form as instructed, either electronically or by mail.

Who needs moonlightingapplication092012doc - urmc Rochester?

01
Medical professionals who are employed or affiliated with URMC (University of Rochester Medical Center) and wish to apply for moonlighting opportunities.
02
Individuals who intend to take on additional work outside their regular employment at URMC.
03
Those seeking to showcase their qualifications, availability, and interest in taking part in moonlighting assignments within URMC Rochester.
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moonlightingapplication092012doc - urmc rochester is a form used by individuals at URMC in Rochester to apply for moonlighting opportunities.
Moonlighting physicians and other healthcare providers at URMC in Rochester are required to file the moonlightingapplication092012doc form.
To fill out the moonlightingapplication092012doc form, individuals need to provide detailed information about the moonlighting opportunity, their credentials, and any potential conflicts of interest.
The purpose of the moonlightingapplication092012doc form is to ensure that individuals at URMC in Rochester are transparent about any additional work they are doing outside of their regular duties.
Information that must be reported on the moonlightingapplication092012doc form includes details about the moonlighting opportunity, hours worked, compensation received, and any potential conflicts of interest.
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