Name
Job Title
Department or Cost Center
Date Request Submitted
Manager

Arrangement Requested

Telework   Part-Time   Job Share

Describe your proposed schedule:



Note: Some simple guidance is provided to “employees” and “managers” for the questions on this form. The “Flexibility Process Training” is very helpful in more fully clarifying what is expected when you fill out the form. Do visit or revisit that training.

1. In what ways might this proposed way of working allow you to maintain or improve your individual performance or contribution and deliver team services?

Employee: The focus here is on how changing the way you work gives you a chance to “work better.”.

Manager: You have a unique and valuable role to play in helping ascertain and characterize this added value. You know the overall work process, the person and what’s possible.



2. What challenges could the proposal raise with your a) manager b) team or co-workers c) internal clients and d) external clients?

Employees: Don’t take the easy route: pay attention to each and imagine their complaints on the most difficult day.

Manager: You have the high ground. Use your awareness to make sure these are the real challenges and that important concerns are accounted for.



3. What solution(s) do you propose to overcome each of the challenges raised in question 2?

Employees: Avoid a stock solution to all the challenges. Real challenges demand real solutions, and the thought that goes with them.

Managers: If you validate challenges, then validating solutions only follows. And in the long run makes your job easier.



4. What outcomes and measurements (both qualitative and quantitative) do you propose that you and your manager use to assess your performance?

Employees: Defining clear improvements in the way you work and positive impacts on clients and the business lays the groundwork for good metrics.

Manager: Most likely you have more experience with metrics and measurements. Don’t hold back.

OUTCOMES



MEASUREMENTS



5. What review process do you propose that you and your manager use to constructively monitor and improve your option?

Employees: Be imaginative and practical in setting reviews. Usually saying “I’ll include it in my regular performance review” suggests that it will be overlooked since the positive impacts of your new arrangement are not in the regular review. Be assertive in scheduling, sticking to and coming prepared to your review sessions.

Manager: You’re very busy. Avoiding one more review is tempting. But metrics don’t matter if they’re not measured, and improvement is typically not self-generating. Reviews matter.



I understand that approval of this proposal does not constitute and will not be construed as a contract, term, condition, or benefit of employment. I understand that my employment with a company in the Sanofi US is “at will,” meaning that my employment can terminate, with or without cause, and with or without notice, at any time, at my option or my employer’s option, and that my employer can terminate or change the terms and conditions of my employment, with or without cause, and with or without notice, at any time. I also understand that the flexible schedule itself may be modified or revoked by my employer at any time. I further understand that if my flexible work arrangement request is granted, I may later request to resume my current regular schedule, but that this request will be subject to approval by my employer and may or may not be granted.

____________________________________________________________________
Employee's Name (please print)                                                   Signature Date

Manager Review

Proposed arrangement is:  Approved   Declined   Needs Revision

If the request needs revision or is declined, please describe the business rationale below:




___________________________________________________________________
Manager’s Name (please print)                                                   Signature Date

Complete the information below after approval is received:

Effective date of Flex solution

Beginning: 

Proposed initial evaluation date: 

(All options will be reviewed on a periodic basis.)