CALS Flexible Work ArrangementRequest Form
The College of Agriculture and Life Sciences recognizes that alternative or flexible work arrangementscan provide a work environment that is responsive to the needs of individuals. Flexible work arrangement means intermediate or long-term changes in the employee’s regular working arrangements, including the number of days or hours worked or changes in the time the employee arrives or departs from work. CALS requires flexible scheduling to be pre-approved for all staff. While every effort will be pursued to be flexible, the decision to approve alternative work arrangements is made by the supervisor who is responsible for the operation of the work unit. In keeping with University and CALS policy, these arrangements must be put in writing and updated as changes of more than 2 weeks in duration occur.
It is expected that the employee will be in the office during designated work hours. If no form is filed for a staff person, he or she is expected to work Monday – Friday, 8:00am – 4:30pm for their regular staff assignment. Should a flexible work arrangement exist, it is CALS expectation for this form to be reviewed on an annual basis during performance evaluations or as business needs change. A flexible working arrangement may not negatively impact the business needs of a unit. Furthermore, a supervisor may revoke an alternative work schedule at any time for due cause.
To be completed by the requesting employee:
STAFF NAME:Click here to enter text.Effective Date:Click here to enter a date.
Full-Time Equivalency (FTE) Status: Click here to enter text.
Requested Flexible Work Schedule:
Calendar Days / Arrival Time / Departure Time / Total HoursMonday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Tuesday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Wednesday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Thursday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Friday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Saturday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Sunday / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Total Hours/ week / (Hours must equal FTE equivalent) / Click here to enter text. /
Employee Signature: ______Date: ______
Supervisor Signature: ______Date: ______
Chair/Director Signature: ______Date: ______
Approved: Not Approved:
If not approved, please provide reason: Click here to enter text.
CALSFWA Request
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