Employee Work Schedule Form
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1
2Employee Work Schedule Form
Effective Date:
Change:
Employee Name:
Personnel Number:
Select one of the three options provided:
Option 1: Five 8-hour days
Hours
0600 – 1430
0630 – 1500
0700 – 1530
0730 – 1600
0800 – 1630
0830 – 1700
0900 – 1730
Option 2: Four 10-hour days
Hours
Days
0600 – 1630
Monday ......
0630 – 1700
Tuesday ......
0700 – 1730
Wednesday .
OR
0730 – 1800
Thursday .....
0800 – 1830
Friday ..........
0830 – 1900
0900 – 1930
Option 3: Four 9-hour days + one 4-hour day
9-hour Day Options
4-hour Day Options
Hours
Days
Hours
Days
0600 – 1530
Monday .......
0600 – 1000
Monday ......
0630 – 1600
Tuesday .......
0630 – 1030
Tuesday ......
0700 – 1630
Wednesday ..
0700 – 1100
Wednesday .
0730 – 1700
Thursday ......
0730 – 1130
Thursday .....
0800 – 1730
Friday ...........
0800 – 1200
Friday ..........
0830 – 1800
0830 – 1230
0900 – 1830
0900 – 1300
1200 – 1600
1230 – 1630
1300 – 1700
1330 – 1730
Comments or Requests:
Employee Initial:
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Parent category: Business