Request for Remote Work
This is a request form only.  You aren't approved or guaranteed the remote work unless you receive approval directly from your supervisor and your position is eligible for remote work according to board policy #70 and procedures outlined in the GCED Employee Handbook.
Email *
Please choose the Supervisor that approves for you:
B-3 = Lindsay Woodard
Itinerants = Jen Marquardt
RBEC Staff / Pathways 6/7 = Kim Cory
All others = Brian Cashman
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Last Name *
First Name *
Position *
Location(s) *
Date & Times of request.  You must be specific.  Please read Policy 70 for the definition of "Ad Hoc".
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Reason for request *
 If this request is granted, what services will not be delivered to the students you serve in-person? Please be specific.
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How will you make yourself available to team members and students during this Ad-Hoc work period?
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What will you work on during this Ad-Hoc work period? Please be specific. 
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I acknowledge that I will continue my Direct School Support schedule until I hear from my direct supervisor about the nature of this request.   *
Required
A copy of your responses will be emailed to .
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