Fillable Student Worker Termination

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Student Worker Termination

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ORAL ROBERTS UNIVERSITY
STUDENT WORK STUDY
STUDENT EMPLOYMENT TERMINATION FORM
Name: Student Z#:
Last First Middle Initial
Student Position Title: Termination Date:
Termination: □ Voluntary □ Involuntary Student gave notice: □ Yes □ No
Reason for Termination:
Job dissatisfaction □□ Work study award depleted Another job □
Conflict with/supervisor or peers □□ Job performance
Conflict with school/work schedule □
Job abandonment □ Other
□
Misconduct □
Further Explanation (attach additional documentation as needed):
Department:
Org./Cost Ctr. Code#:
Supervisor’s Name: Date:
Supervisor’s Signature:
(Supervisor’s: Please send the original signed copy to Student Employment/Career Services and retain a
copy for your departmental records.)
OFFICE USE ONLY: CAREER SERVICES /STUDENT EMPLOYMENT
Date Received: Hire Date:
Payroll Notification Date: Entered in GHN Date:
Hiring Manager Emailed Date: Student Emailed Date:
(if involuntary)
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Student Worker Termination

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Completed 28 February 2020

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