"Telework Application Form" - Florida

Telework Application Form is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

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FDJJ – 1025 - 1
DEPARTMENT OF JUVENILE JUSTICE
TELEWORK APPLICATION
/
/
Name / Class Title
People First ID / Position Number
/
Office (e.g. Probation, Administration)
Unit / Program Name
Proposed Telework Office Site Address
City
County
State
Zip code
Home Phone
Alternate Contact#
Business Phone
Cell Phone
Exempt from public records release
*#
I have attained permanent status with the Department of Juvenile Justice
.
I have demonstrated that I am mature, self-disciplined, and capable of working with minimal on-
site supervision.
I have demonstrated strong verbal and written communication skills, as well as appropriate
knowledge of the use of e-mail and faxes and other computer technology.
I have demonstrated consistent, productive, and organized work habits, along with the ability to
make independent decisions and access appropriate technological support.
I have a good performance record: no documented absenteeism problems or tardiness issues and
*
performance evaluations reflecting satisfactory performance or above
.
*
I have not received any disciplinary actions within the last 6 months
.
If applicable, describe the workspace in your home that you intend to dedicate to performing your
work.
*
Does not apply to employees hired in positions designated as full-time Telework positions.
#
Does not apply to exempt status employees.
Employee’s Signature
Date
Supervisor’s Comments:
Page 1 of 2
FDJJ – 1025 - 1
DEPARTMENT OF JUVENILE JUSTICE
TELEWORK APPLICATION
/
/
Name / Class Title
People First ID / Position Number
/
Office (e.g. Probation, Administration)
Unit / Program Name
Proposed Telework Office Site Address
City
County
State
Zip code
Home Phone
Alternate Contact#
Business Phone
Cell Phone
Exempt from public records release
*#
I have attained permanent status with the Department of Juvenile Justice
.
I have demonstrated that I am mature, self-disciplined, and capable of working with minimal on-
site supervision.
I have demonstrated strong verbal and written communication skills, as well as appropriate
knowledge of the use of e-mail and faxes and other computer technology.
I have demonstrated consistent, productive, and organized work habits, along with the ability to
make independent decisions and access appropriate technological support.
I have a good performance record: no documented absenteeism problems or tardiness issues and
*
performance evaluations reflecting satisfactory performance or above
.
*
I have not received any disciplinary actions within the last 6 months
.
If applicable, describe the workspace in your home that you intend to dedicate to performing your
work.
*
Does not apply to employees hired in positions designated as full-time Telework positions.
#
Does not apply to exempt status employees.
Employee’s Signature
Date
Supervisor’s Comments:
Page 1 of 2
DEPARTMENT OF JUVENILE JUSTICE
TELEWORK APPLICATION
Approved
Denied
Supervisor’s Signature
Date
Superintendent/Chief Probation Officer or comparable SES Manager’s Comments:
Approved
Denied
Superintendent/Chief Probation Officer or
Date
comparable SES Manager’s Signature
Note: A Telework Agreement and additional documentation must be signed and processed before
the telework arrangement becomes official. Please reference FDJJ – 1025, Telework Policy and
Procedures.
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