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[]
["Employee Sick Leave Bank Enrollment Form"]
["\nFOR EMPLOYEES NOT COVERED BY A COLLECTIVE BARGAINING AGREEMENT WITH THE EXCEPTION OF SHARE AND NAGE EMPLOYEES\n"]
["I wish to voluntarily participate in the UMass Sick Leave Bank established for eligible employees at UMass Medical School.\nI have read the Sick Leave Bank policy (Available on the HR Web Site) and agree to and understand the stipulations set forth in the policy.\nI understand that Human Resources will verify my eligibility in regards to service time and sick hours available before enrolling me. I authorize Human Resources to deduct 16 hours from my sick time accruals and enroll me in the Sick Leave Bank if I have met the requirements.\n\nAuthorized Hours to Donate:  16 \n"]
[]
[]
[null,null,null,"ALL FIELDS ARE REQUIRED"]
["Date Of Request:"]
["                                                                                    MM/DD/YYYY"]
["ID and Name of Employee Requesting:"]
["                                                                                          ID                                                                Last name, First name"]
["Department:"]
[]
["Job Title:"]
["                                                                                                                                                                                 E-mail"]
["I agree my electronic signature is the equivalent of my manual/handwritten signature on this enrollment form."]
[null,null,null,null,null,null,null,null,null,"                                Signature"]
[]
["Please email this completed form to:  Benefits.UMMS@Umassmed.edu \n\n",null,null,null,null,null,null,null,"Benefits.UMMS@Umassmed.edu"]
["Benefits will review this information for compliance and email a response to you as soon as possible"]

{"sheet":"AppDen","index":1,"n_rows":2,"n_cols":1,"rows_kept":2,"cut":false,"hidden":true,"merged":[]}
["Approved"]
["Denied"]

{"sheet":"drop-down","index":2,"n_rows":21,"n_cols":2,"rows_kept":21,"cut":false,"hidden":true,"merged":[[0,0,0,1]]}
["INFORMATION FOR NEW EXTENSION FORM"]
[]
["Category","Extension Details"]
[]
["Collaborator - Off Campus","Can be extended in 1 year increments"]
["Collaborator - On Campus","Can be extended in 1 year increments"]
["Contractor ","Can be extended in 6 month increments"]
["Observer","Can be extended in 3 months increments, can be intermittent"]
["Paid Graduate Intern","May be allowed but no greater than their original engagement period. "]
["Paid High School Intern","May be allowed but no greater than their original engagement period. "]
["Paid IT Intern","May be allowed but no greater than their original engagement period. "]
["Paid Psychologist Intern","May be allowed but no greater than their original engagement period. "]
["Paid Undergraduate  Intern","May be allowed but no greater than their original engagement period. "]
["Per Diem","Can be extended in 1 year increments"]
["Post Retiree","Manager must complete a post retirement request form FIRST and return to HR Compensation PRIOR to extending employment"]
["Temprite","Can be extended in 1 year increments - by Human Resources only"]
["Unpaid Intern","Can be extended for up to an additional 6 months with new app"]
["Unpaid Research Trainee","Can be extended for up to an additional 6 months with new applicable documentation; if no documentation provided, no extension will be granted; if post graduate adult, must have approved learning curriculum or no extension will be granted"]
["Unpaid WPI Intern","Can be extended for up to an additional 6 months with new applicable documentation; if no documentation provided, no extension will be granted; if post graduate adult, must have approved learning curriculum or no extension will be granted"]
["Volunteer","Can be extended on a case by case basis to a maximum of 3 months"]
["System Access Memorial (not to include Myers and Howard Hughes)\n\n","Can be extended in 1 year increments"]