Clinical Faculty Time Off Requests Submission Date* Date Format: MM slash DD slash YYYY Name* First Last Role*Faculty (MD)Faculty (PhD)Faculty (NP)StaffType of Time Off Request*VacationSickCME*CME requests are not counted as vacation days*Name of Coverage (MD's only)*Jose Acevedo, MDNana Addo-Tabiri, MDNavid Alavi, MDHussein Assi, MDJustin Battaglini, MDCamille Edwards, MDPeter Everett, MDGretchen Gignac, MDMeredith Halpin, MDKevan Hartshorn, MDNaomi Ko, MDMatthew Kulke, MDAdam Lerner, MDEric Marks, MDLillian McMahon, MDRebecca Miksad, MDAndreea Negroiu, MDLauren Oshry, MDGeoffrey Oxnard, MDFabio Petrocca, MDJean Antoine Ribeil, MDVaishali Sanchorawala, MDMark Sloan, MDAndrew Staron, MDRaphael Szalat, MDUmit Tapan, MDN/A (NP's only)*NP's do not require coverage. Please select the last option on the drop down list above (not applicable)*Start Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Notes