Hybrid Work Policy Agreement Form
Please complete this form to acknowledge and confirm your understanding of the company’s hybrid work policy.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department
*
Please Select
Engineering
Product
Sales
Marketing
HR
Finance
Operations
Other
Job Title
*
Work Location
*
Please Select
Headquarters
Remote
Regional Office
Hybrid (Both)
Other
Direct Manager/Supervisor
*
Preferred In-Office Days
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Remote Work Days
Monday
Tuesday
Wednesday
Thursday
Friday
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please confirm that you have read and understand the company’s Hybrid Work Policy.
*
I acknowledge and agree to the Hybrid Work Policy.
I have questions and would like to discuss further.
Questions or Comments
Submit
Should be Empty: