Work Agreement Form

^{Revised May 2022}

Supervisors may revise this agreement at any time with sufficient notice to the employee.聽Employees may request a revision.聽

Please Complete the Following Information:

Work Agreement Type: *

Division/Area/College/School *

Department *

Institutes *

Supervisor Information:

Name (First and Last) *

Campus Email *

Employee Information:

Name (First and Last) *

Campus Email *

Department Head (Chair, Director, etc.) Information:

Name (First and Last) *

Campus Email *

Designated Officer (Dean, VC, AVC)

Name (First and Last) *

Campus Email *

Leave this field blank

A member of Human Resources will generally respond within 2 business days. If you need immediate assistance, please contact 303-492-6475.聽

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