Appendix_D.pdf

APPENDIX D: Telework Agreement Template

Telework Agreement: Name of Project

Personnel:

Teleworker: Name, Position (FSI/SLS/Division)

GTM: Name, Position (FSI/SLS/Division)

Goal: Briefly describe the goal for the project; EX: “To develop Chapter 1 of the X curriculum”.

Deliverables: Briefly describe all deliverables to be completed for the project

EX: Chapter 1 of the textbook including all activities, explanations, exercises, texts, graphics, audio recordings, and glossary of new vocabulary

EX: End of chapter task-based assessment

EX: Scoring rubric for end of chapter task-based assessment

Etc.

Timeline: Start Date to End Date (X weeks total, X day(s) per week)

Telework Dates (X days total):

Week 1: Enter weekday and date for each day of telework

Week 2:

Week 3:

Week 4:

Telework Hours of Work: enter telework hours here (EX: 0800 ET to 1700 ET)

Telephone Contact Number: enter telework telephone number during tour of duty

Location: Enter address where telework will be completed

Reporting:

Telework Days: Name of teleworker will check in at time each day with GTM name to discuss questions and the status of work to be completed.

Review of Deliverables: Following each telework day, name of teleworker will send electronic copies of all deliverables to the GTM, or post deliverables as directed to the relevant Share Point site, for review by 1000 ET. Name of teleworker and name of GTM will meet to review deliverables and discuss recommended edits on insert dates and times.

General Guidelines: GTM - insert general guidance and requirements for the deliverables here.

Established Work Plan:

For each day of telework, enter the date, the specific task(s) to be completed, and the time allocated for completion of each task.

Week Day Tasks Time Deliverable

Allotted Review Date

Week

Day 1

Enter

Date

1. Review development plan for the new curriculum

2. Draft list of all learning outcome for the chapter

3. Create the end of chapter task-based assessment

4. Draft the scoring rubric for the end of chapter task

Etc.

30 mins

1 hour

2 hours

1 hour

[date to be entered by

GTM after review of deliverables]

Telework Requirements

Keep to the schedule established in the telework agreement.

Indicate in your Outlook calendar ahead of time the days you are scheduled to telework, so that people can plan accordingly.

Notify staff with whom you regularly work about your telework schedule and contact information.

Confirm with your GTM any meetings which you are expected to attend remotely (call in).

Inform the PAs in your division/section of your schedule and contact information so they can direct people who are looking for you on how you can be reached.

Post a note on your door or desk to inform people that you are telecommuting and how you may be reached (e.g. “I’m telecommuting today. I may be reached at xxx-xxx-xxxx”).

Statement of Understanding

I have read and will comply with the requirements outlined above. I understand that if I fail to meet telework requirements or requirements of the project as outlined, permission to telework will be revoked and my Contractor Company will be notified.

Printed Name of Teleworker Date

Signature of Teleworker Date

Printed Name of Program Manager Date

Signature of Program Manager Date

Printed Name of COR, ACOR, or CO Date

Signature of COR, ACOR, or CO Date