FY'23 College of Engineering Remote/Hybrid Work Form

FY'23 College of Engineering Remote/Hybrid Work Form
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Department #
Employee Name

First NameLast Name
Employee UK Email
example@example.com
Please enter your direct supervisor's information. Your supervisor will receive a copy of your form for review and approval.
Chair/Director/Supervisor's Name

First NameLast Name
Chair/Director/Supervisor's Email
example@example.com
Which type of remote work are you performing?

Other

Please select the appropriate days that you are working office/ in-person vs remote: