Schedule Request Form PDF Details

In an organizational landscape where flexibility and employee well-being are increasingly prioritized, the introduction of an Adjustable Work Schedule Change Request form at Bemidji State University and Northwest Technical presents a critical tool for both employees and management. This form serves as a formal mechanism through which staff can request alterations to their existing work schedules, specifying desired changes in workdays, shift lengths, and start and end times. The process mandates the provision of current work schedule details, alongside the proposed new schedule, marking the requested effective and end dates for the change. Additionally, the need for stating the reason behind such a request underscores the form's role in fostering a transparent dialogue between employees and their supervisors. Approval or denial of the request is further subjected to a structured review process involving the supervisor's evaluation, followed by the insights of the Vice President and a final review by Human Resources. By documenting each stage of the request, from initiation to the final decision, and ensuring copies of the form are circulated among pertinent parties, the system encapsulates a comprehensive approach to managing work schedule adjustments, aiming to accommodate individual needs while maintaining operational efficiency.

QuestionAnswer
Form NameSchedule Request Form
Form Length1 pages
Fillable?Yes
Fillable fields15
Avg. time to fill out3 min 19 sec
Other namesschedule change request form template, schedule request form template, schedule change request form, schedule request template

Form Preview Example

BEMIDJI STATE UNIVERSITY

NORTHWEST TECHNICAL

ADJUSTABLE WORK SCHEDULE CHANGE REQUEST FORM

Name: ________________________________ Position Title: ______________________

Department: _______________________________________________________________

Current Schedule:

 

 

 

 

 

 

 

 

 

 

 

 

Days of Week:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monday

 

Tuesday

 

Wednesday

 

Thursday

 

Friday

 

Saturday

 

Sunday

Length of Shift: _________Hours

Start Time: ____a.m./p.m.

End Time: ____a.m./p.m.

I request my schedule to be changed to:

 

 

 

 

 

 

 

 

Days of Week:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monday

 

Tuesday

 

Wednesday

 

Thursday

 

Friday

 

Saturday

 

Sunday

Length of Shift: _________Hours

Start Time: ____a.m./p.m.

End Time: ____a.m./p.m.

Effective Date: _______________________

End Date: ________________________

Reason for Request:

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee Signature: ______________________________________ Date: ___________

Supervisor’s Approval / Denial Signature:

Approved Signature: ____________________________________ Date: ___________

Denied Signature: ______________________________________ Date: ___________

Reason for Denial: _________________________________________________________

_________________________________________________________________________

Vice President Signature: ___________________________________ Date: ___________

Human Resources Review:

Reviewed: _______________________________________________ Date: ____________

Original to Human Resources. Copies forwarded to supervisor and employee.

j:\bsu ntc adj work schedule change request.docx

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