Student Employment Change Form Name* First M.I. Last Student ID Number* Supervisor Name* Change of Employment* Change of class rank Termination/Resignation Change of Class RankNew class rank* Sophomore Junior Senior Graduate Student Effective date* MM slash DD slash YYYY Termination/ResignationReason for Resignation Disliked the job Graduation Found other job Resigned / unknown Walked off job Left School End of Semester Depleted Work Study Funds Reason for Termination Attendance Restricted Duty Death Drug-related Reorganization Insubordination Theft Conflict of interest Timecard Misuse Poor Performance Legal Last Day of Employment* MM slash DD slash YYYY Rehire Eligible* Yes No Comments
