Employee Workplace Flexibility Pilot Program Application

Employee Workplace Flexibility Pilot Program Application — Form Fields

This hr template includes 10 fields. Application for employees interested in participating in workplace flexibility pilot programs. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Work Email (email, required)
• Department (text, required)
• Manager Name (text, required)
• Flexibility Type Requested (dropdown selection, required) — options: 4-Day Work Week, Flexible Start/End Times, Hybrid (3 days office), Hybrid (2 days office), Fully Remote Trial
• Current Schedule (dropdown selection, required) — options: 5 Days In-Office, Hybrid 3/2, Hybrid 4/1, Fully Remote
• How This Would Improve Your Productivity (long text, required)
• Proposed Coverage Plan (long text, required)
• Manager Pre-Approval (multiple choice, required) — options: Yes, Discussed - Pending, Not Yet Discussed
• Pilot Duration (dropdown selection, required) — options: 1 Month, 3 Months, 6 Months