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Telecommuting Application Form
Please fill the form below
Name :
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Title :
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Department :
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Supervisor :
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Number of days I would like to telecommute: 2 or 3
Supervisor
I have discussed the possibility of telecommuting with the above mentioned employee. I believe this employee is a good candidate based on job responsibilities and performance in his or her current position.
Supervisors Signature:
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Date:
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Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
TELECOMMUTING APPLICANT
I have discussed telecommuting with my supervisor and understand that my application does not guarantee that I will be eligible to telecommute.
I have read the telecommuting policy and understand that it is not an entitlement and that it is not appropriate for every employee.
I understand that telecommuting can be terminated at any time by {Enter Company Name} or me.
Telecommuting Applicants Signature :
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Date:
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Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
HUMAN RESOURCES
Select:
Approval
Disapproval
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Reason
Multiline Text:
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Date:
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Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Signature:
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Submit