Please submit this form to let us know of all your favorite things! We use this information to recognize your work and celebrate you on special occasions. Under each category please specify brand names and as many details as you’d like.

Favorites List

Name

First Name

Last Name

Email

Favorite Things

Favorite Treats & Snacks

Favorite Beverage

Please specify if hot or cold

Favorite Gift Ideas

Favorite Gift Cards

Please specify which stores you prefer

Favorite Places to Visit

Please include places near our clinic

Favorite Hobbies / Things To Do

What is one thing that makes you feel 'at home' when you're at work?

Any ideas of activities we could do as a group for fun?

Thank you for sharing a bit about you!

Please submit this form to opt in to Saturday sessions.

Saturday Opt In Form

Name

First Name

Last Name

Email

Purpose of Form

I would like to:

Opting In Specifics

Complete the fields below if opting in or changing your weekend availability

I would like to participate in:

Social skills groups

Reading groups

Math groups

Regular sessions

Open to all

Time Start

Hour

Minute

Second

Time End

Hour

Minute

Second

Type of Availability

Do you have availability permanently or do you prefer to be available for a temporary date range (for example, you might be available only for the duration of a group).

Notes on Availability

Thank you!

Please complete this form to request time off. This form needs to be received within 2 weeks of the start date of the request. Please be sure to click ‘submit’ and wait to receive confirmation of submission. Thank you!

Time Off Form

Date of Request

MM

DD

YYYY

Name

First Name

Last Name

Email

Reason for Request

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Schedule Needs

Session Modifications Needed

Does your time off request include days where scheduled sessions need to be modified?

Day 1

Include all sessions that will need to be modified on day off #1: Specify client initials and time.

Day 2

Include all sessions that will need to be modified on day off #2: Specify client initials and time.

Day 3

Include all sessions that will need to be modified on day off #3: Specify client initials and time.

Day 4

Include all sessions that will need to be modified on day off #4: Specify client initials and time.

Day 5

Include all sessions that will need to be modified on day off #5: Specify client initials and time.

Additional Days

Include all sessions that will need to be modified on day off #5 and on: Specify client initials and time.

Please be sure to click 'submit' button below and confirm your submission with administration. Thank you!

Welcome to our very own staff portal…

Favorites List

Saturday Opt In

Time Off Form