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flexible_working_-_application_form

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									              Manchester Metropolitan University

      FLEXIBLE WORKING APPLICATION FORM
     Before completing this application, please contact your HR Advisor for guidance.
    HR Advisor details can be found at http://www.mmu.ac.uk/humanresources/contact/



Name:

Post title:                                     Campus:

Date commenced employment:

Date of last application for flexible working: (if applicable)

Current working pattern and hours:




Proposed working pattern and hours:




Reason for application:




Effect of change on service delivery and how this may be dealt with:




Start date for proposed change:

Duration of change: e.g. 1 month/6 months/permanent

Signed:                                                      Date:


                  After completion, please return this form to your Line Manager
Manager’s Response Section


Name:                                                  Position:

Date request received:

Are you in support of this application?:               Yes          No

If request is approved, what effect will the change have on the remaining members of the team and
service delivery?




Any other comments:




Signed:                                              Date:

     After completion, please forward this form to Dean/Head of School/Service (as appropriate)

For completion by Dean/Head of School/Service (as appropriate)


Date request received:

Request approved?:                  Yes         No

If no, why not:




If yes, new working pattern and hours approved:




Date effective from:

Any other comments:


Signed:                                                  Date:

                       After completion please return to Human Resources

For HR use

Date received:
Date employee informed in writing:
Date Line Manager notified:
Date PF sent to payroll/amendments
made to payroll:

								
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