Flexible Work Arrangement Agreement
Manager:
Employee:
Date:
This agreement is subject to the following conditions:
1. Evaluation every
month(s) or more often as necessary.
2. Employee maintains normal interactions with supervisor, coworkers and customers and
is accessible to staff during traditional work hours.
3. Employee’s work schedule does not adversely affect other employees and/or customer
service.
4. Personal leave is handled in the same manner as prior to the Flexible Work Agreement.
5. Employee agrees to and follows the agreed upon work schedule.
6. Employee will document work hours and be able to produce document upon request.
Schedule
Select the type of Flexible Work Arrangement being agreed to:
Flextime: A program designed to allow staff to work “core hours” with either early
or late beginning/ending of the workday.
Job-Sharing: A program in which two people share a position, each working part
of the week.
Compressed Work Week: A program designed to allow eligible full time staff
members to work longer scheduled days of work with the intent of working fewer
than 10 work days in each pay period.
Reduced Hours/Part-Time: Employee may choose to work less than the standard
40 hours per week.
Telecommute: A program designed to allow staff to work a portion of their
normally scheduled work hours from a remote location. (See Telecommute Guide.)
Other: