Student Termination Notice

MU LIBRARIES
STUDENTS 
TERMINATION NOTICE

Name of Student:    ____________________________Emp. ID #  ________________
 
Department:   _____________________________________________________________
 
Supervisor:    ______________________________________________________________  

Last day worked:    ________________________________________________________

Students forwarding address______________________________________________

Reason for termination (e.g., end of appointment, performance, attendance)

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

If applicable, did the student give a two-week notice?    ____ Yes         _____ No
 
Please indicate if the student will be returning within the next year to work in 
the Library.      ____ Yes         _____ No

__________________________        __________________________        ____________
        Supervisor Signature                                  Title      			Date

                                            
Please submit this form to Administrative Office the day following last day of work along 
with copies of any related documentation (e.g., attendance log, performance records).  If 
you have any questions, please contact Sheena Waggoner at 882-9808.

Revised 8/10