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Remote Work Application Form PDF | PDF
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Remote Work Application Form PDF

The document is a Remote Work Application Form for employees to request permission to work remotely, detailing sections for employee information, requested remote work days, start and end dates, job suitability, and reasons for the request. It requires signatures from the employee, supervisor, and position management team to acknowledge the agreement or disapproval. The form emphasizes that remote work is not guaranteed and can be revoked at any time.

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29 views2 pages

Remote Work Application Form PDF

The document is a Remote Work Application Form for employees to request permission to work remotely, detailing sections for employee information, requested remote work days, start and end dates, job suitability, and reasons for the request. It requires signatures from the employee, supervisor, and position management team to acknowledge the agreement or disapproval. The form emphasizes that remote work is not guaranteed and can be revoked at any time.

Uploaded by

48k9dp4wgg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Remote Work Application Form

Employee Name: Title:

Department: Supervisor:

Number of days I would like to work remote: 1 2 3 4 5

Requested Start Date: Requested End Date:

Please describe how you think your job responsibilities are suited for working remote:

Please indicate your reason for requesting to work remotely:

REQUESTING EMPLOYEE
I have completed this remote work application to the best of my ability and understand that its
completion does not guarantee that I will be eligible. I have read the remote work policy and
understand that it is not an entitlement and that it is not appropriate for every employee. I
understand that working remotely can be terminated at any time by the University or me.

Employee's Signature __________________________________ Date ________________

SUPERVISOR
I have discussed the remote work arrangement outlined above with the employee. I believe this
employee is a good candidate based on job responsibilities and performance in his or her
current position. I understand that by approving this request, that I will periodically review this
arrangement with the employee to ensure that it is effective and sustainable.

Supervisor’s Signature___________________________________ Date ________________

POSITION MANAGEMENT TEAM

Acknowledgement of the approved agreement above Date _______________


*HR will provide an approval letter for both the supervisor and staff member to sign

Disapproval of the approved agreement above Date _________________


*follow-up with supervisor will occur to determine how to proceed

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