Separation Request

This form will be used to notify the Student Employment Office of a separation 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 in-activated 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 in-activated one day following the date you report here and time will not be able to be submitted after this date.)

Please note that a student performance review will still be required for this student for your department. Contact the Student Employment Office if you have questions regarding this process.