Student Employee - Separation Notice printable pdf download

Student Employee - Separation Notice

INSTRUCTIONS:

This form should be completed by the supervisor to notify Human Resources of student

work assignments that will not be renewed and/or student employee separations that occur prior to the end of

the work assignment/semester.

NOTE: Involuntary separations or recommendations for termination must be discussed with Human

Resources prior to ending the work assignment.

Name:

CWID:

Department:

Campus:

Supervisor:

Account No.:

Last Day of Employment:

Please select one:

Student Assistant

Work-Study

Reason for Separation (select only one):

Work Assignment Ended (non-renewal of assignment)

Accepted other employment

Failure to Report to Work

Personal Reasons

Relocation

Concentrate on School

Other (please specify)

IMPORTANT: Your CougarWeb username will be changed after your separation. We will notify

you of your new username at the personal email address you provide below.

Personal email address (required):

(no CougarMail addresses)

Supervisor Signature:

Date:

Student Signature:

Date:

Please send a copy of this form to Human Resources-Student Employment at CHEC (you may

send it via interoffice mail, fax it to 972-985-3783, or email it to mfrancis@collin.edu).

Rev. 02/05/2016 SH

Student Employee - Separation Notice