Termination Request

This form will be used to notify the Student Employment Office of a termination request for a student in your department.

Your Name *
Your name

Your Email Address *
Your email address *

What is the student's name? *
What is the student's name?

What is the student's ID number?
What is the student's ID number?

Please give a brief explanation explaining why this student will no longer work for your department. *
Please give a brief explanation explaining why this student will no longer work for your department.

What is the (exact) Last Date (mm/dd/yy) the student did/will work in your department. (NOTE: The time sheet will be deactivated one day following the date you report here and time will not be able to be submitted after this date.)
What is the (exact) Last Date (mm/dd/yy) the student did/will work in your department. (NOTE: The time sheet will be deactivated one day following the date you report here and time will not be able to be submitted after this date.)