Send your flexible hours proposal

This form should not be used to request a remote or hybrid schedule. If you are interested in a remote or hybrid schedule, please talk with your supervisor. Plans for remote and hybrid work will be approved at the level of a direct report to the President.

Fill out and submit the online form below to send a proposal for these types of flexible work:

Adjusted hours
Compressed work week
Reduced hours
- Change a full-time position to part-time
- Temporarily take unpaid leave
- Temporarily reduce hours
- Temporarily reduce hours after returning from extended leave, such as family medical leave
- Phase into retirement by reducing hours. Please follow this process outlined here.

Dates & Information

Adjusted hours

This flexibility exists only outside of core hours of business, as defined by each supervisor. Core hours may be mid-day from 10 a.m. to 2 p.m. when meetings take place, for example.

Compressed work week

A standard workweek can be compressed into fewer than five days. In some positions, working four 10-hour days or three 13-hour days is possible.

Reduced hours

Change a full-time position to part-time

Temporarily take seasonal unpaid leave

Temporarily reduce hours seasonally

Temporarily reduce hours after returning from extended leave, such as family medical leave

Phase into retirement by reducing hours

What type of flexible work arrangement are you requesting? *

Refer to the chart above for an explanation of each flex work option.

Start date for this request *

Month

Day

Year

End date for this request

Month

Day

Year

Provide any details or additional comments about this request

Employee Information

Name *

Email *

Job title *

College/ Admin unit name *

Dept/Division/Center name *

Do you supervise others? *

yes

Supervisor's name *

Supervisor's email *

Current Work Schedule

Mon

Tue

Wed

Thu

Fri

Proposed Work Availability

Mon

Tue

Wed

Thu

Fri

Further Details

Identify how this request will enable you to provide the same or improved level of service, support, productivity, and quality of work to meet performance goals and/or job responsibilities, including any client needs. *

Identify any potential barriers to success and completing your current job responsibilities while working in this flexible way. How will you address these barriers? (e.g. current level of interaction with other departments and coworkers) *

It's best to discuss your flex work request with your supervisor before submitting this form. Once you submit it, your supervisor will receive an email copy. He or she will reply to the email with "APPROVED" in the subject line and send a copy to you, as well as UK Human Resources. If you have not received a response from your supervisor within two days, you may want to ask them about your pending request.

HR is here to answer any questions you have about flexible work options. We do not approve or deny requests, but we are here to support leaders and employees in implementing and understanding these practices.

Send your flexible hours proposal

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