Flexible Work Schedule Agreement 4/10 Template
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1
2CLEAR FORM
FLEXIBLE WORK SCHEDULE AGREEMENT 4/10
[Compressed Workweek]
This Agreement specifies the conditions applicable to an arrangement for:
Employee: ____________________________________________
Dept: _________________________________
Supervisor: ____________________________________________
Dept: _________________________________
This Agreement begins on_________________________ and continues until ____________________________
1.
Days and hours when the employee is normally expected to be in the unit/department are:
NOTE: SCHEDULE IS FIRM AND CANNOT CHANGE FROM WEEK TO WEEK.
Weekly schedule:
Time must be scheduled daily for 10 hrs, 10 hrs, 10 hrs, 10 hrs & 0 hours (day off)
Monday
to
with
minute lunch
Tuesday
to
with
minute lunch
Wednesday
to
with
minute lunch
Thursday
to
with
minute lunch
Friday
to
with
minute lunch
Saturday
RDO
with
minute lunch
Sunday
RDO
with
minute lunch
2.
The following plan and timetable for monitoring the appropriateness and effectiveness of this
arrangement are agreed upon:
EXAMPLE: Work will be monitored through 1 on 1 meetings, client feedback and review of work to insure
deadlines and client services are not adversely affected. It is further agreed that ‘employee-name’ may be
required to work on alternative days off due to operation and/or client need.
3.
The employee agrees that any additional hours which might involve overtime (for non-exempt
employees only) must be approved in advance by the supervisor/department head.
4.
HOLIDAYS: All holidays are paid for 8 hours. Non-Exempt employees must use 2 additional hours on the
TRS timesheet to be fully paid for the holiday (i.e., Holiday 8, Vacation 2).
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