2 NOVEMBER 2026 — 31 JANUARY 2027

Glenside A/H roster requests

Enter your details, check the summary, then copy it into an email to the roster administrator.

This form does not save or send your entries. Closing or refreshing the page clears them.
01 / YOUR DETAILS

Doctor details

The administrator manages roster-fraction adjustments and previous holiday duties.

02 / WORKING PATTERN

Normal working days

Select your usual weekdays. Weekend and major public-holiday duties are considered separately. Week A starts Monday 2 November 2026.

Training day

No after-hours duties on this weekday, except public holidays.

Select your training day
03 / APPROVED COMMITMENTS

Leave

All leave entered here must be approved due to public-holiday demand.

Enter approved leave, mandatory training or exemptions. Include the full date range, even if it starts or ends outside this roster period.

For any unapproved leave, add it to the Cover shift request section and mark as "Avoid".

04 / PREFERENCES

Cover shift requests

Choose dates to avoid, prefer or volunteer for. Requests are not guaranteed. “Any shift” covers AM and PM.

05 / OPTIONAL CONSENT

Extra shifts

Choose the maximum extra shifts you are willing to work. The administrator sets your usual allocation. Extra shifts may be less than six days apart. Extra public-holiday shifts require the separate opt-in below.

A doctor is never assigned both AM and PM on the same day.

Additional comments

SUMMARY

Review details

Please review the information below, then use the Copy summary and code button and paste it into an email back to me.

Roster data

Please leave this data block in your email. It is needed to import your details.

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