BWH Vacation Request Form by G26JqXFe

VIEWS: 108 PAGES: 7

									                       Last Name                                                          I Work On
                     First Name
                   Sep 2012 Sep                     2012                               Scheduled Hours
                   Sun Logon ID Wed
                        Mon Tue         Thu       Fri       Sat                       # Weeks Requested
                  26   Employee ID
                        27  28   29     30    31        1                                Modified Date
                  2      3    4    5    6     7         8
This is for Vacation Requests only. Please use the paper form for all other changes and requests.
                  9      10   11   12   13    14        15
To Begin: Click on the SUNDAY DATE box and input a Sunday begin date.
                    16  17   18   19 20 21 22
Only fields in Yellow allow input
                  23     24   25   26   27    28        29
1. This is my FIRST choice for time off
                  30  1    2     3   4        5         6
   Sunday       Monday       Tuesday          Wednesday           Thursday   Friday   Saturday                  Comments - Please type in the box below
 Click Here



2. This is my SECOND choice for time off
   Sunday       Monday     Tuesday       Wednesday                Thursday   Friday   Saturday
 Click Here



3. This is my THIRD choice for time off
   Sunday       Monday       Tuesday          Wednesday           Thursday   Friday   Saturday
 Click Here



4. This is my FOURTH choice for time off
   Sunday       Monday     Tuesday       Wednesday                Thursday   Friday   Saturday
 Click Here                                                                                               To EMAIL,click the Create Email button below and
                                                                                                          then click Send

5. This is my FIFTH choice for time off
   Sunday        Monday      Tuesday          Wednesday           Thursday   Friday   Saturday            Note - a copy of this form will be saved in your sent
 Click Here                                                                                               folder in Outlook. You will also receive a delivery
                                                                                                          receipt once the email has been received by your
                                                                                                          Manager
6. This is my SIXTH choice for time off
   Sunday       Monday       Tuesday          Wednesday           Thursday   Friday   Saturday            Approval is Pending sufficient level of vacation time
 Click Here                                                                                               at the actual time of the vacation; unpaid time will not
                                                                                                          be granted.

7. This is my SEVENTH choice for time off                                                                 If you would like a hard copy of your submission,
   Sunday       Monday     Tuesday      Wednesday                 Thursday   Friday   Saturday            click the Print button below.
 Click Here



8. This is my EIGHTH choice for time off
   Sunday       Monday      Tuesday      Wednesday                Thursday   Friday   Saturday
 Click Here



9. This is my NINTH choice for time off
   Sunday       Monday       Tuesday          Wednesday           Thursday   Friday   Saturday
 Click Here



10. This is my TENTH choice for time off
   Sunday       Monday      Tuesday      Wednesday                Thursday   Friday   Saturday
 Click Here
           Manager Name                 Dept Name
Leone,Kathleen            3BC
Milone,Marsha J.          4B
Milone,Marsha J.          4C
Molina,Eileen             5A
Molina,Eileen             5B
Jodoin,Cynthia M          6A
O'Connor,Deborah          6B
Jodoin,Cynthia M          6C
O'Connor,Deborah          6D
Fillipon,Katie Ann        7A
Fillipon,Katie Ann        7B
Quin,Matthew              8AB
Quin,Matthew              8C
Quin,Matthew              8D
Golden,Shaun W            9CD
Clemence,Ellen S          10BA
Gordon,Susan J.           10CD
Thomas-Browning,Joyce     11A
O'Connell, Eileen         11BD
Thomas-Browning,Joyce     11C
Higgins,Margaret          12A
Milone,Marsha J.          12c
Brita Rossi,Patricia      14AB
Aylward,Patricia M        14CD
McGrath,Elizabeth Jan     15AB
Silvernail,Suzanne M      15CD
Kenyon,Mary Anne Murphy   16AB
Higgins,Margaret          16CD
Parker,Dorothy            850 Allergy Clinic
Cialfi,Sandra Anne        850 Endoscopy Nurses & Techs
Davis,Sherry              Admin Research BWH WK
Smelstor,Kimberly Leger   AMBULATORY OB
Goldberg,Ilene            ANESTHESIA ADMIN PAIN MGMT BWH
Tape, Patricia            Anesthesia CRNAS
Webber Jr,James           ANESTHESIA RESEARCH BWH WK
Foley,Richard             ANGIOGRAPHY NURSING
Berardino,Kori Lynne      Arthritis Center
Dolan,Janice              BIMA NURSING
De La Cruz,Chrisnery      BPG at 850 BWPO WK
Flaherty,Karen Marie      BREAST CENTER
Moran,Michelle L.         Brookside Medical
Wichmann,Lisa M.          BWH Care Management Program
Lanchester,Jeanne         Day Surgery/PACU/Pre-OP
Krasinski,Joanna C        BWH OHS Clinical
Robitaille,Pauline F.     BWH Operating Room
Thomas,Heidi Douglas      BWH Weekly Group 4
Saunders,Teresa           CARDIAC CATH LAB
Habermehl,Edward H        Cardiac Surgery
Saunders,Teresa           CARDIOVASCULAR RECOVERY RM
Collishaw,Barbara                Care Coordination Nursing Staf
Moffat,Mary                      Care Coordination Utilization
Schneider,Mary E                 CCI BWH WK
Powell,Katy                      CDIC Asst Nurse Managers
Avitabile,Cheryl                 Center for Nursing Excellence
Harmon,Sandra                    Center for Reproductive Med
Richard,Cynthia L.               CLIN NEUROLOGY BWH WK
McColgan,Joan M                  CWN 10
Wallace,Barbara C.               CWN 5
Willard,Lauren                   CWN 7
Muzio,Sandra                     CWN 8
Trainer,Miriam                   CWN 9
Willard,Lauren                   CWN Float Pool
Nandelstadt,Aline D.             DOM Aging BWH WK
Brooks,Tawana                    DOM CVD BWH HFRN WK
Mercurio,Ana A                   DOM CVD Clinical BWPO WK
Niola,Joseph                     DOM CVD DVT GROUP BWH WK
Niola,Joseph                     DOM CVD HF RESEARCH BWH WK
Niola,Joseph                     DOM CVD RESEARCH BWH WK
Tocci,Janice                     DOM DGM Staff BWH WK
Kirsh,Robbie J                   DOM ENDOCRINE BWH WK
Ma,Yue                           DOM ID CLIN RESEARCH BWH WK
Cote,Jaclyn A.                   DOM ID HIV BWH WK
Gagne,Michelle                   DOM INF DISEASE BMS WK
Kalan,Kathryn L                  DOM PM WHI BWH WK
Byron,Linda Laroche              DOM PULM DIV RESP BWH WK
O'Connell, Alison                DOM PULM RESEARCH BWH WK
Ruiz,Doris L                     DOM Renal Ambulatory BMS WK
Todesco,Ralph A                  DOM SLEEPMED OPERATIONSBWHWK
Crim,Heidi                       Emergerncy Dept
Cialfi,Sandra Anne               Endoscopy Nursing & Techs
Saunders,Teresa                  EP/PACER LABORATORY
Harmon,Sandra                    Family Planning Center
Paccioretti,Catherine            Float Pool ICU
Paccioretti,Catherine            Float Pool Intermediate
Tape, Patricia                   Foxborough Anesthesia
Espindle,Leanne                  Foxborough Day Surgery Unit
Espindle,Leanne                  Foxborough Nursing
Long,Sara Christine              Foxborough Specialty Clinic
Driscoll,Sheila                  GCRC Staff
Isom,Kellene A                   General Surgical Specialties 3
O'Connor,Deborah                 Hem/Onc Float Pool
Lima,Jackie M                    Hematology Division
Flanagan,Christine A             Hemodialysis
Harmon Tangishaka,Christine V.   INF DISEASE BWH WK
Foley,Richard                    IV Team
Harmon,Sandra                    IVF/5C
Donnell-Fink,Laurel A            Katz Research BWH Wk
Trainer,Miriam                   LACTATION SUPPORT SERVICES
Shelton,Rashanda                 LEAVE OF ABSENCE
Mahler,Miriam                    Midwifery
Flanagan,Christine A             MS INFUSION NURSING
Nielsen,Heidi              Neurology BWH Weekly Group 5
Doolan,Sandra C            Neurosurgery Misc
Cummings,Marianne          NICU
Almechatt,Kristen          NON-INVASIVE PROCEDURES
Avitabile,Cheryl           Nursing Excellence Educators
Simpkins,Elizabeth         OB/GYN ADMIN BWH WK
Surowiec,Brenda            Ortho PA
Kelton,Filicha             Ortho/Rhuem @ 850 BWH WK
Flanagan,Christine A       Outpatient Infusion
Scanlan,Elizabeth          PAIN CLINIC NURSING
Lewis-O'Connor,Annie       PARENT/CHILDBIRTH EDUCATION
Silver,Jason R.            PATC Staff
Crown,Donna Lynne          PATH BloodBank Donor Ctr Staff
Kaufman,Richard M          PATH Dr Kaufman Research Lab
Runkle,William M           Plastic Surgery
Stern,Linda Jo             Primary Care Associates SH
Gross,Cindy-jo             Primary Care at Foxboro PO wk
Burrage,Charlotte          Primary Care Brookline BWPO WK
DeMarco,Mary Ellen         RAD/ONC ADMIN OTHER BWH WK
Kalinowski,Barbara H       RAD/ONC NURS CLIN ADMIN BWH WK
Jean,Mariette              Radiology Research MRI WK
Cashman,Grace E            Renal BWH WK
Precourt,Justin            SHAP 6E, 7EW
Precourt,Justin            SHAP 6W
O'Brien,Alice              SHAP 8EW
Reilly, Karen              SHAP 9E
Reilly, Karen              SHAP 9W
Cunningham,Pearl           SHAP OR
Murray, Ann                Shapiro Nursing Admin
Harvey,Regina S.           SJPHC Operations
Reid,Lisa A                Spanish Clinic
Davis,Sherry               Surgery Research BWH WK
Steinberg,Molly R.         Transplant Administration
Judge-Proulx,Julie A.      Transplant Surgery
Jones,Christopher Mathew   Urology Surgery
Jackiewicz,Susan C         WATKINS CLINIC
Cunningham,Mark            Women's Health/Primary Care
                 Email Address
3BcVacreq@partners.org
4BVacreq@partners.org
4CstaffVacreq@partners.org
5AstaffVacreq@partners.org
5BstaffVacreq@partners.org
6AstaffVacreq@partners.org
6BstaffVacreq@partners.org
6CstaffVacreq@partners.org
6DstaffVacreq@partners.org
7AVacreq@partners.org
7BVacreq@partners.org
8AbVacreq@partners.org
8CVacreq@partners.org
8DVacreq@partners.org
9cdVacreq@partners.org
10BaVacreq@partners.org
10CDVACREQ@PARTNERS.ORG
11AVacreq@partners.org
11BdSurgeryVacreq@partners.org
11CVacreq@partners.org
12AVacreq@partners.org
12CVacreq@partners.org
14ABVacreq@partners.org
14CdVacreq@partners.org
15ABVacReq@partners.org
15CDVAcReq@partners.org
16AbVacreq@partners.org
16CdVacreq@partners.org
AllergyClinicVacreq@partners.org
850EndoscopyVacreq@partners.org
AdmresVacreq@partners.org
AmbulatoryOBVacreq@partners.org
AnesPainvacreq@partners.org
FxbcrnaVacreq@partners.org
AnesthestaResVacreq@partners.org
AngiographyVacreq@partners.org
ArthritiscenterVacreq@partners.org
BimaVacreq@partners.org
BpgVacreq@partners.org
BreastctrVacreq@partners.org
BrooksideMedVacReq@partners.org
CareManagementVacReq@partners.org
DsupacuVacreq@partners.org
OHSClinVacReq@partners.org
OrVacreq@partners.org
Weeklygrp4Vacreq@partners.org
CardiaccathVacreq@partners.org
CardSurgVacReq@partners.org
CardiovascularVacreq@partners.org
CarecoordinationVacreq@partners.org
CarCordUtilVacReq@partners.org
CCIVacreq@partners.org
CDICVacreq@partners.org
CofeVacreq@partners.org
CtrReproVacReq@partners.org
ClinNeurologyVacreq@partners.org
Cwn10Vacreq@partners.org
Cwn5Vacreq@partners.org
Cwn7Vacreq@partners.org
Cwn8Vacreq@partners.org
Cwn9Vacreq@partners.org
CwnfloatpoolVacreq@partners.org
AgingVacreq@partners.org
CvdhfrnVacreq@partners.org
CVDCliniBwpoVacreq@partners.org
DVTGroupVacreq@partners.org
HFResearchVacreq@partners.org
CVDResearchVacreq@partners.org
DGMStaffVacreq@partners.org
EndocrineVacreq@partners.org

InfdxhivVacreq@partners.org
InfDiseaseBmsVacreq@partners.org
PmWhiVacreq@partners.org
PulmonaryVacreq@partners.org
PulmResearchVacreq@partners.org
AmdRenalBmsVacreq@partners.org
SleeMedVacReq@partners.org
EdVacreq@partners.org
EndoscopynsgVacreq@partners.org
EplabVacreq@partners.org
FamilyPlanningVacreq@partners.org
IcurnfloatpoolVacreq@partners.org
IntrnfloatpoolVacreq@partners.org
FxbanesVacreq@partners.org
FxbdsurgVacreq@partners.org
FXBNursingVacreq@partners.org
FXBSpecialtyVacreq@partners.org
GcrcVacreq@partners.org
GenSurgSpecVacreq@partners.org
HemoncfloatpoolVacreq@partners.org
Hematologyvacreq@partners.org
HemodialysisVacreq@partners.org
InfDiseaseWKVacreq@partners.org
IvteamVacreq@partners.org
IVFVacreq@partners.org
KatzresVacreq@partners.org
LactationspprtVacreq@partners.org
LeaveofAbsenceVacreq@partners.org
MidwiferyVacreq@partners.org
MsinfusionVacreq@partners.org
NeurologyGrp5Vacreq@partners.org
NeurosurgeryVacreq@partners.org
Cwn6Vacreq@partners.org
NoninvprocVacreq@partners.org
NursingexcVacreq@partners.org
ObGynAdminVacreq@partners.org
OrthophaVacreq@partners.org
OrthoRhum850Vacreq@partners.org
OutptinfVacreq@partners.org
PainClinicVacreq@partners.org
ParChlEdVacreq@partners.org
PatcStaffVacreq@partners.org
BlooddonorVacreq@partners.org
PathKaufmanResVacreq@partners.org
PlasticSurgeryVacreq@partners.org
PrimaryCareAssocVacreq@partners.org
FXBPrimaryCareVacreq@partners.org
PrimecareVacreq@partners.org
RadoncVacreq@partners.org
RadOncAdminVacreq@partners.org
RadiologyResMriVacreq@partners.org
RenalVacreq@partners.org
Shapiro6E7E7WVacreq@partners.org
Shapiro6WVacreq@partners.org
Shapiro8EwVacreq@partners.org
Shapiro9EVacreq@partners.org
Shapiro9W10EwVacreq@partners.org
BwhorVacreq@partners.org
NurAdmShapiroVacreq@partners.org
SJPHCVacreq@partners.org
SpanishClinicVacreq@partners.org
SurgresVacreq@partners.org
TransplantAdmVacreq@partners.org
TransplantSurVacreq@partners.org
UrologySurgeryVacreq@partners.org
Weeklygrp4Vacreq@partners.org
WomnsprimcrVacreq@partners.org

								
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