Ustime

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Work Program Signup by
Rinza Dawood
Employee Name
Rinza Dawood
Employee Belongs to Team / Department
Client Servicing and Coordination Team #1
Employee role/designation?
Client Servicing & Coordinator; Associate
I confirm that I have read the eligibility criteria and that I am eligible to enroll in the selected work program (based on my understanding of the work program policy).
My immediate manager has given me an initial "okay"/verbal "okay" to proceed with this submission.
The employee requested to signup for?
Item - Ustime Image-1 0
Permanent Internship Program
How many months do you commit to this work schedule?
Date the employee is willing to start the program?
Monday, January 27, 2025
I confirm that I have read and understood the details of the overall policy and the relevant terms and conditions applicable to the program that I wish to sign up for.
Accepted
By working according to this work schedule, how would it help benefit the team/department?
Are you “currently” facing any situations (Power cuts, internet drops etc) )which is preventing you from working and sticking to a work schedule? If so, please describe them.
N/A
Regardless if it happened or not, "assume" a situation happens (power outage, internet breakdown etc.) and its preventing you from working according to the required hours/times for this work program. What would you do/how would you ensure you are able to adhere to the work program guidelines?
Immediate Supervisor of the Employee?
Diluksha Gandinathan
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US WORK SCHEDULE - EST (LIMITED) - DEFINE YOUR WORK TIMES

  • Using the below table, the employee must define his/her work schedule that he/she would work under the US Work Schedule - EST (Limited)work program.
  • I only will use two work slots. Why are there several work slots? Some employees may have 2 work slots while others may require 4 slots. Enter N/A for those extra slots that you will not use
    Enter the start and end time per cell representing a work slot that you will use per work day in 24 hour format. Refer sample:
  • 75% or 6 hours of the employee’s hours should be worked between 7.00 AM and 5.30 PM Eastern Standard Time zone.
  • Daylight savings time changes are applicable.
  • The remaining 25% or 2 hours could be worked at any time throughout the same work day.
Your Work times for US Work Schedule - EST (LIMITED)
MondayTuesdayWednesdayThursdayFriday
EST - LIMITED - Work Time Slot 1st Shift
EST - LIMITED - Work Time Slot 2nd Shift
EST - LIMITED - Work Time Slot 3rd Shift
EST - LIMITED - Work Time Slot 4th Shift
EST - LIMITED - Work Time Slot 5th Shift
EST - LIMITED - Work Time Slot 6th Shift
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Date
Wednesday, January 22, 2025
Employee Signature
Item - signature 1
I have read through, understood, and agree to all of the “Terms and Conditions” mentioned for the relevant program.
Accepted
As the supervisor of the employee, I take full responsibility to ensure the employee I manage does not abuse or violate the terms and conditions of this program. I will also ensure that the work done under this program is meaningful and impactful.
Supervisors Signature
Supervisors Name
Date and Time
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Created by
patientforms
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