AFSCME DC47 Change Of Work Status Portal Please tell us about your change in work status. Question Title * 1. What is your work status change? (Required.) Retirement Resignation Leave Of Absence Other (please specify) Question Title * 2. Was this change caused or influenced by an end to hybrid work scheduling? (Required.) Yes No It was one of the factors Question Title * 3. You can elaborate further on Question 2 here. (optional) Question Title * 4. Enter your full name. (Required.) Question Title * 5. Enter your phone number (Required.) Question Title * 6. Enter your personal e-mail address. (Required.) Question Title * 7. Choose your employer (Required.) City of Philadelphia First Judicial District Philadelphia Parking Authority Philadelphia Housing Authority University of Pennsylvania Penn Museum Philadelphia Museum of Art Philadelphia Zoo Temple University Philadelphia Non-Profit Organization Question Title * 8. Enter your department. (Required.) Question Title * 9. Enter your job title. (Required.) Question Title * 10. Are you an exempt, non-represented, or contract employee? (Required.) Yes No Other (please specify) Done