Office of Human Resources

Flexible Work Agreement Request Form

Xavier recognizes that flexible work arrangements are a key organizational strategy that positively affect staff performance and commitment back to the university and is referenced in the University’s Hours of Work Policy.   It is the intent of this mutually beneficial agreement to clarify the duration, schedule and expectations of one flexible work arrangement.

This agreement may need to be modified based upon additional requests, FMLA issues, or office coverage issues and may be revoked by either the employee or supervisor at any time during the course of the agreement.