NTC employees should complete this form to request alternate work arrangements due to issues related to COVID-19 for the 2021 Spring Semester. NTC Leadership is aware that everyone's personal situation is fluid and can change at any moment. At the same time, the College needs to continue working toward the common goal of providing a fantastic undergraduate experience to our students. This includes holding in person 1-on-1 meetings with students as the default option. Approvals for all requests will come from the Dean's office in coordination with the Senior Associate Dean of your area. Your supervisor will also be copied on the request and approval.

Special Note:

If you’re requesting an accommodation due to your own health status, you MUST go through the University’s ADA request process. Staff should contact the Office for Campus Accessibility at ADAaccess@tulane.edu to request ADA Accommodations. Communications regarding potential ADA accommodations are confidential and will not be shared outside of the Office for Campus Accessibility without the employee’s consent.

COVID-19 Non-ADA Alternate Work Requests Form

First name *

Last name *

Email *

Reason for your non-ADA alternate work arrangement request: *

Type of alternate work arrangement requested: *

Comments on this request (you are not required to share personal HIPAA related information): *

Please select the Senior Associate Dean for your department/unit? The Senior Associate Dean for your area will receive an email notification of your request, to review for approval. *

Please select your supervisor from the list below. Your supervisor will receive an email notification of your requests to review. *

Please sign this request below acknowledging that the information provided is true and current to your knowledge. The dean is working with senior associate deans and supervisors on all requests. *

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