Flexible Work Arrangement Agreement Page 2

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Specific Work Hours
Day
Hours
On-Site
Off-site
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Total Hours
The evaluation of the Flexible Work Agreement will be based on the successful completion of
the employee’s job responsibilities.
The employee and the management at the workplace understand that effective communication is
essential for the work arrangement to be successful.
The Flexible Work Agreement will be effective:
I have read and understand this agreement.
Employee
Date
Manager
Date

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