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State of Ohio Health Care Benefits Communications Virtual Focus Group Registration
*
1.
Name (As entered in OAKS)
(Required.)
*
2.
State of Ohio OH|ID Workforce User ID
(Required.)
3.
Work Schedule: Days of the Week (Check the days of the week you typically work)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
*
4.
Work Schedule: Start Time/End Time (Choose the start time and end time you typically work)
(Required.)
Start Time
End Time
Start Time/End Time
-- Select an option --
12 a.m. (Midnight)
12:30 a.m.
1 a.m.
1:30 a.m.
2 a.m.
2:30 a.m.
3 a.m.
3:30 a.m.
4 a.m.
4:30 a.m.
5 a.m.
5:30 a.m.
6 a.m.
6:30 a.m.
7 a.m.
7:30 a.m.
8 a.m.
8:30 a.m.
9 a.m.
9:30 a.m.
10 a.m.
10:30 a.m.
11 a.m.
11:30 a.m.
12 p.m. (Noon)
12:30 p.m.
1 p.m.
1:30 p.m.
2 p.m.
2:30 p.m.
3 p.m.
3:30 p.m.
4 p.m.
4:30 p.m.
5 p.m.
5:30 p.m.
6 p.m.
6:30 p.m.
7 p.m.
7:30 p.m.
8 p.m.
8:30 p.m.
9 p.m.
9:30 p.m.
10 p.m.
10:30 p.m.
11 p.m.
11:30 p.m.
-- Select an option --
12 a.m. (Midnight)
12:30 a.m.
1 a.m.
1:30 a.m.
2 a.m.
2:30 a.m.
3 a.m.
3:30 a.m.
4 a.m.
4:30 a.m.
5 a.m.
5:30 a.m.
6 a.m.
6:30 a.m.
7 a.m.
7:30 a.m.
8 a.m.
8:30 a.m.
9 a.m.
9:30 a.m.
10 a.m.
10:30 a.m.
11 a.m.
11:30 a.m.
12 p.m. (Noon)
12:30 p.m.
1 p.m.
1:30 p.m.
2 p.m.
2:30 p.m.
3 p.m.
3:30 p.m.
4 p.m.
4:30 p.m.
5 p.m.
5:30 p.m.
6 p.m.
6:30 p.m.
7 p.m.
7:30 p.m.
8 p.m.
8:30 p.m.
9 p.m.
9:30 p.m.
10 p.m.
10:30 p.m.
11 p.m.
11:30 p.m.
Other (Please specify)
*
5.
Email Address
(Required.)
