Colleague COVID-19 Vaccination Raffle Eligibility Any colleague who has received a COVID-19 vaccine by 5 pm on Friday, August 20. Raffle Entry Colleagues who are vaccinated before 5 pm on August 20, 2021, will be automatically entered into the raffle. Colleagues who were vaccinated at a location other than Saint Francis Medical Center or a Medical Partner location can submit proof of vaccination to the Healing Arts Pharmacy for entry into the raffle. Additional Video Entry Colleagues can earn one (1) additional raffle entry by recording and posting to social media a video sharing the importance of COVID vaccination and encouraging family and friends to get vaccinated. Colleagues must first be vaccinated in order to earn an additional entry. Colleagues can participate in videos together and each receive an additional entry. One additional entry per colleague; multiple video submissions do not earn multiple additional entries. Videos must be consistent with the Saint Francis brand and not negatively impact the Healthcare System’s reputation or identity. Saint Francis reserves the right to refuse entry for inappropriate or inaccurate video submissions. Colleagues may be asked to remove a posted video if inappropriate or inaccurate, and may be subject to corrective action, as necessary. All videos must be submitted to the Saint Francis Marketing department for review via the online form below. Colleagues must submit the original video, a screenshot of the social media post and the information for all participating colleagues for appropriate entry. Prizes Fifteen (15) total prizes including trips, meals, dress code vouchers and more. Winners Winners will be announced the week of August 23, 2021; three (3) winners will be announced each day of the week, Monday through Friday. Members of the Executive and Senior Leadership Teams will visit winning colleagues in their department to award prizes. Submit Your EntryName* First Last Department*3rd Floor ACC (6500)Accounting (8170)ACO (7299)Administration (8250)Admitting (8180)Advanced Orthopedic Specialists (7851)Anesthesia (6700)Anesthesiology (6710)Bio-Medical Services (8060)Cape Cardiology Group (6680)Cape Care for Women (7415)Cape Diabetes & Endocrinology (6820)Cape ENT Group (7417)Cape Gastroenterology Specialists (6865)Cape Medical Oncology (6670)Cape Neurology Specialists (6695)Cape Neurosurgical Associates (7855)Cape Pain Management (7815)Cape Physician Associates (7825)Cape Primary Care (7835)Cape Pulmonology & Sleep Medicine (7020)Cape Radiation Oncology (7300)Cape Spine and Neurosurgery (6685)Cape Thoracic & Cardiovascular Surgery (7040)Cardiac Rehab Services (7240)Cardiovascular Lab (7030)Case Management (6521)Cat Scanner (7070)Center for Digestive Diseases (6860)Centralized Telemetry (7840)Clinical Neurophysiology (7000)Communications (8160)Dexter Fitness Plus (7366)Diabetes Education & Management (7210)Electrodiagnostic (6950)Emergency Room (6850)Employee Health (6840)Environmental Services (8110)Facilities Management (8050)Family Birthplace (6600)Farmington Physician Associates (7844)Ferguson Medical Group (7861)Ferguson Medical Group - Charleston (7863)Ferguson Medical Group - East Prairie (7864)Ferguson Medical Group - Lab (7867)Ferguson Medical Group - Scott City (7862)Ferguson Medical Group - Sikeston (7865)Fiscal Services (8165)Fitness Plus (7295)Food Service (8010)Foundation (8220)Health Information Management (7900)Home Health (7380)Hospice (7420)Hospital Billing (8190)Hospitalists (6830)HRSA 93.912 (8247)Human Resources (8150)Immediate Convenient Care (6857)Immediate Convenient Care - Jackson (7839)Information Systems (8210)Infusion Center (7860)Inpatient Dialysis (6770)Inpatient Occupational Therapy (7180)Inpatient Physical Therapy (7200)Inpatient Rehabilitation (6620)Inpatient Respiratory Therapy (7150)Intensivist (6831)Jackson Family Care (7832)Kneibert Clinic (7848)Kneibert Lab (6912)Kneibert Pharmacy (7849)Laboratory (6900)Laundry and Linen (8120)Legal Services (8169)Level III NICU (6610)Magnetic Resonance Imaging (7060)Marketing (8130)Medical Affairs (8245)Medical Intensive Care (6550)Neonatology (6580)Neurosciences (6512)Nuclear Medicine (7250)Nutrition Service (7370)Operating Room (6650)Orthopaedic-Surgical (6630)Outpatient Occupational Therapy (7190)Outpatient Physical Therapy (7260)Outpatient Speech Therapy (7280)Pain Center (7810)Palliative Care (7425)Pastoral Care (8240)Patient Care Administration (6400)Patient Financial Services (8175)Patient Transport (8235)Performance Improvement (8020)Pharmacy (7100)Physical Therapy Dexter (7155)Physicians Park General Surgery (7780)Physicians Park Primary Care (7842)Piedmont Physician Associates (7845)Poplar Bluff Neurology Specialists (7847)Poplar Bluff Pediatrics (7852)Post Anesthesia Unit (6750)PPPC - Lab (7843)Professional Billing (7340)Progressive Care Unit (6560)Psychology Services (7270)Purchasing & Receiving (8230)Radiology (7050)Registration Center (7360)Rehab Medical (7838)Retail Pharmacy (7140)Saint Francis Outpatient Center (7365)Saint Francis Outpatient Center - Imaging (7363)Saint Francis Outpatient Center PB (7364)Same Day Surgery (6980)Security (7910)Sikeston Imaging Center (7866)Sleep Disorders Center (7160)Social Services (8090)SPD Supply Services (6800)Speech and Hearing (7230)Sterile Processing (7920)Training and Development (8140)Trauma (6810)Ultrasound (7090)Utilization Review (6835)Volunteers (8080)Wellness (7870)Woman Care (7850)Wound Care (7820)Employee ID* Email Address* Phone Number*Screenshot of Social Media Post*Max. file size: 100 MB.Upload Your Vaccination Video*If you are unable to upload your video due to a large file size, please contact email@example.comMax. file size: 100 MB.Additional Colleague Names & IDsPlease enter the names and employee IDs of any additional colleagues featured in the video.Media Release* I authorize Saint Francis Healthcare System to use any video(s) and / or screenshot(s) that I upload through this form for promotional materials.