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Remote Work Request
Request a remote or hybrid arrangement. Please propose how it would work.
Your name
*
(required)
Work email
*
(required)
Job title
*
(required)
Your manager
*
(required)
Team
*
(required)
What you're requesting
What arrangement would you like?
*
(required)
Select…
Fully remote
Four days remote
Three days remote
Two days remote
One day remote
Occasional, as needed
Which days would you be remote?
*
(required)
Monday
Tuesday
Wednesday
Thursday
Friday
It would vary
Preferred start date
*
(required)
For how long?
*
(required)
Select…
A trial of three months
A trial of six months
Permanently
A fixed period - see notes
How it would work
How would your responsibilities be covered?
*
(required)
How would colleagues reach you?
*
(required)
What would work better under this arrangement?
*
(required)
What might be harder, and how would you handle it?
*
(required)
Your workspace
Where would you work?
*
(required)
Select…
A dedicated room or office
A desk in a shared room
A table in a living space
A co-working space
Do you have what you need?
*
(required)
A suitable desk
A supportive chair
A second monitor
Reliable internet
A quiet space for calls
None of these
Broadband speed
*
(required)
Select…
Under 20 Mbps
20 - 100 Mbps
Over 100 Mbps
Not sure
Reason
What's prompting the request?
*
(required)
Select…
Focus and productivity
Commute time or cost
Caring responsibilities
Health or accessibility
Relocation
Work-life balance
Anything you'd like to add?
Leave this field empty
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