Electronic Telework Agreement | Academic Outreach and Innovation | Learning Innovations

Name*

First Last

WSU ID*

Email Address*

Approving Official*

Work Challenges

Please provide a brief description of typical duties that you are not able to complete or that will be challenging to be performed while teleworking.

Borrowed Equipment*

Please list any university-owned equipment removed from the university for use while working remotely. Enter "None" if no equipment was borrowed. For items with a WSU sticker and/or AOI number please include make,model, and serial number. All other items include a brief description (web camera, desk chair, etc).

Alternate Duties

In order to meet WSU, AOI, and staff needs, you may be assigned or volunteer for special duties to support AOI operations due to COVID-19. Please track all time related to these special COVID-19 projects as requested by your supervisor.

Expectations*

Please affirm the following expectations by selecting them. If you are not affirming all, please explain in the space provided.

I will abide by all WSU employee policies as outlined on Human Resources website (https:// hrs.wsu.edu).
I will request annual and sick leave as I normally do so you will know if I'm not available during those hours/ days.
I will use a softphone, have my phone forwarded to my cell phone, or check voicemail throughout the day.
I will attend all meetings as requested via zoom or phone. Zoom will be used whenever possible.
I have worked to ensure that I have access to the electronic files I need to complete my duties.
I will submit a report to my supervisor of my daily work tasks and special projects or duties directly related to COVID-19.
If not affirming, please explain why.

Explanation

Data Security*

I have a method to safeguard the security of all institutional data, including, but not limited to, intellectual property, proprietary information, confidential personnel information, FERPA protected student records, HIPPA protected health information, and attorney-client communications.

I agree

Electronic Signature*

By typing my name below, I confirm that I have my direct supervisor's permission to telework during the COVID-19 outbreak. I will notify my supervisor if I need other resources and/or accommodations to meet the expectations outlined here.

* Required