HSDO Flex Work Employment Approval Form

Prior to confirming hybrid - non-standard or remote work arrangements with an employee, the manager will need to complete this form for dean's office approval. This review process also includes the HR team working with UHR Compensation on any compensation adjustments if the employee is working outside the Bay Area. Please do not confirm or make any promises to the employee until your HR Manager connects with you on the final decision and potential pay actions.

Requestor Name

Requestor Email Address

Department/Program

Employee Name

Job Classification Title

Work Arrangement Type

Hybrid - Non Standard

Remote: Non-Bay Area

Remote: Bay Area

What assessment practice did you use to determine that this position is ideal for a remote arrangement?

Interaction with stakeholders

Does the position require any in-person interaction with stakeholders to complete core work duties (weekly, quarterly or annually)? This includes supporting or attending events, facilitating meetings, providing advice to students, etc.

Core work responsibilities

Can the core work responsibilities of the position be performed effectively and without substantive job redesign (includes assigning duties to on-site/hybrid employees), if the position is rarely expected to be physically on-site (0 to 1 day/week)?

Does this position manage other staff who may be assigned as on-site or hybrid staff?

Team operations

How are you going to ensure that team operations can be effectively sustained if the work performed by the position is remote?

Employee engagement

How are you going to ensure that employee engagement, professional development and performance management be supported and sustained if the position is working remotely.

Home/Office set-up

Is the employee's home office environment conducive to working productively in a hybrid or fully remote work arrangement (reliable connectivity to virtual tools and shared drives, etc.)?

Future planning

If the position was vacant. Would it be posted as an on-site, hybrid or remote opportunity?

Will the employee be working from outside the Bay Area?

Has the department/program budgeted for potential expenses?

Internet stipend, cell phone stipend, travel expenses, etc.

Does the position currently have a Stanford dedicated office space* (office, shared cubicle, etc)?

Is your department chair or program director supportive of this work arrangement?