NRP/EB - Establishment of Work Schedule

Name:	Date:

NOTE: All employees of NRP/EB must submit and sign a paper timesheet upon which the employee's hours are marked completely for each work day during the pay period. No workdays should be left blank.

I am a FULL TIME EMPLOYEE and elect to work 8 hours, Monday through Friday, each pay period.

My regular hours will be:	a.m. to	p.m.

I am a FULL TIME EMPLOYEE and elect to participate in the Alternative Work Schedule (AWS) 5/4-9 work schedule, which allows for one AWS scheduled day off per pay period.

Week One	Week Two

My AWS day off will be:	M T W R F	M T W R F

Week One	Week Two

My 8 hour day will be:	M T	W R F	M T W R F

My regular hours will be:	a.m. to	p.m.

I am a PART-TIME EMPLOYEE and understand I cannot participate in AWS. I will be on duty or have approved leave, credit, or compensatory time for my regular work hours. Although my schedule may vary, following is a general representation of the schedule I anticipate working most:

Week One	Week Two

Monday	a.m. to	p.m.	a.m. to	p.m.

Tuesday	a.m. to	p.m.	a.m. to	p.m.

Wednesday	a.m. to	p.m.	a.m. to	p.m.

Thursday	a.m. to	p.m.	a.m. to	p.m.

Friday	a.m. to	p.m.	a.m. to	p.m.

I am eligible and elect to participate in Flexiplace. I understand that I must have a current Flexiplace Agreement (form 9-3104) and Checklist (form 9-3105) on file in the Branch Office.

Employee:	Signature: ___________________________

Supervisor:	Signature: ___________________________

Branch Chief:	Signature: ___________________________

Note: The original approved form will be retained in the Branch Office with a copy provided to the designated timekeeper. A new form must be processed when supervisory changes occur or when an employee wishes to select a new schedule.