Telecommuting Request Form Page 2

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4. Describe how telecommuting will assist you in meeting the goals and needs of your position and the
department.
5. How often would you want to telecommute?
(Check only one box)
About once every two weeks
About once every week
Two days a week
Three or four days a week
Five days a week
Occasionally for special projects
6. What type of work would you expect to do while telecommuting?
(Check all that apply and provide an approximate
percent of time for each)
Percent of Time
Writing
%
Word processing
%
Data management/computer programming
%
Reading
%
Talking on the phone
%
Sending/receiving electronic mail
%
Field visits/meetings
%
Planning/organizing
%
Administrative support work
%
Batch work
%
Evaluation/research/analysis
%
Other:
%
Please specify
7. If applicable, describe the workspace in your home that you intend to dedicate to performing your work.

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00 votes

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