CAROLINA CONFERENCE OF SEVENTH-DAY ADVENTISTS

Office of Secretariat -- Human Resource Services

PO Box 44270 -- Charlotte, NC 28215

P. 704-596-3200 F. 704-596-5775

VACATION REQUEST FORM

(Vacation time is figured on a (4) day work week for hourly employees and a (5) day work week for salaried employees.)

Employee Name*

First

Last

Today's Date*Note: Requests should be sent to Human Resource Services at least thirty (30) days prior to the planned vacation.

mm/dd/yyyy

VDA

I am taking the following day(s) and/or week(s) off for vacation:*

Number of vacation days taken:*

Department(s):Please indicate your department so this form can be sent to the director for approval. Check all that apply.

ACBC

Association

Children's Ministries

Church Development

Communication

Community Services

Education

Evangelism/Ministerial

Family Life

Health/Stewardship

Hispanic

Human Resources

Information Services

Men's Ministries

President's Office/ASI

Prison

Publishing/Religious Liberty

Sabbath School

Secretariat

ShareHim

Treasury

Trust Services

Women's/Singles/Disability

Youth/Young Adult/Mission

Emergency Contact Name*

First

Last

Emergency Contact Phone Number*

Comments or questions:

Employee Vacation Form