Employee Information

COVID-19 Employee Telework Plan and Agreement Form

This form is intended to ensure that both the supervisor and the employee have a clear, shared understanding of the employee’s telework arrangement during this Coronavirus disease (COVID-19). Each telework arrangement is unique depending on the needs of the position, supervisor, and employee. The employee is obligated to maintain a safe, hazard- free work location during the temporary telework period.

This agreement between the University of North Carolina Pembroke (UNCP) and the employee, referenced below, allows the employee to begin working remotely effective as of the date of this agreement and is in effect until modified or rescinded by the university or employee, or until the current State of Emergency declared by Governor Cooper on March 10, 2020 (Executive Order 116) is rescinded.

  • 1 Current Employee Telework Information_
  • 2 Office and Teleworking Schedule
  • 3 Job Duties/Work Assignments
  • 4 Policies and Procedures
  • 5 Terms of Agreement
  • 6 Complete
Employee Telework Information
Telework Contact #
Supervisor Information
Supervisor Telework #