REQUEST FOR ALTERNATIVE WORK
SCHEDULING ARRANGEMENT

(Flextime)

AGREEMENT

According to Article XII, Section 79 of the United Auto Workers Clerical Contract between Michigan Technological University and Local 5000, UAW, "A joint University/Union waiver of the conflicting contractual provisions shall be necessary prior to implementation of such arrangements".

I hereby request the following work schedule for the period starting on ____________________________ and ending on ____________________________.

I understand that I will not be paid overtime (time and one-half) for time worked in excess of eight (8) hours per day.

MONDAY __________:__________a.m. to __________:__________p.m.
TUESDAY __________:__________a.m. to __________:__________p.m.
WEDNESDAY __________:__________a.m. to __________:__________p.m.
THURSDAY __________:__________a.m. to __________:__________p.m.
FRIDAY __________:__________a.m. to __________:__________p.m.


Employee Name (Print) Department
Employee Signature Date
Supervisor Signature Date