Vacation Request Form Vacation Request Form Full Name * Date * Manager’s Name * Allen Stern Allison Steinberg Amy Plourde Ana Bernstein Anca G. Cucu Anna Eskin Bill Sims Deborah Worboys Gina Lillico Ilia Shapira Irene Vaksman Jason Tooral Kaitlin Murray Kim Coulter Lucy Lu Marina Ayvazyan Matthew Rodrigues Nazreen Yousuf Neda Farahmandpour Nelly Teitelbaum Philip Hollett Robert Gauthier Sharvari Jois Sumika Takahashi Tamara Novik Trina Charles Vasthi Carrasco Yahav Barnea Zeri Zigeta Program Vacation Start Date * Vacation End Date * Total # of Vacation Days Requested * # of Vacation Days Currently Banked Notes Checkboxes I am travelling outside of Canada.* Country Travelling To *Disclaimer: Under the current legislation, as of April 19, 2020, anyone who travels outside of the country needs to self-isolate for fourteen (14) days upon re-entry to Canada. If you check this box to indicate you are travelling outside of Canada, you will be subject to the current legislation and JVS’s COVID-19 Isolation policy. **Should you not be able to return to Canada as a result of self-isolation or closure of global borders you will be placed on an approved unpaid leave of absence. Signature * Clear Submit If you are human, leave this field blank.