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TELEWORK SCREENING QUESTIONNAIRE/APPLICATION This document is developed to obtain certain information relative to whether or not the employee, his or her job, and his or her home work environment are suitable for a teleworking arrangement. Name:__________________________ Date:__________________ I.D. Number:_____________ Department:_____________________ Title:________________________ Supervisor:__________________
If my proposal for a telework arrangement is approved, I hereby agree to abide by the terms of the Organization Telework policy, any applicable business unit telework policy, The Telework Agreement and all other Organization policies and procedures.
Employee's Signature & Date Teleworking Policy Telework Agreement |
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