VCOM Institutional Policy and Procedure Manual

________________________________________________________________________ 2265 Kraft Drive | Blacksburg, Virginia 24060 | (540) 231-4000 ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 5. The method of providing services to students in the requestor’s (employee) absence: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 6. Any additional relevant information about the requestor’s (employee) ability to perform the work remotely: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 7. Who will cover the operational needs of the department/division: ______________________________________________________________________________ ______________________________________________________________________________ 8. What impact will the absence of the requestor (employee) have on students, faculty, staff and visitors: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 9. Define the duties of the position that can be effectively accomplished through remote work: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 10. Define the sensitivity and restrictions of confidential data that will be impacted by working remotely. Please provide a waiver from IT outlining the risks of working on confidential data off site: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 11. Please provide a summary of the requestor’s (employee) past work performance as detailed in their previous employment evaluations: