Termination Checkout Form

Complete the form entirely.
Click the SUBMIT button.
NOTE:  *Required Fields 
If a student worker, will student return in same capacity next semester? (pending budget approval)
Forms/Misc. *
Requests/Collect resignation letter
Complete and submit Technology Checkout Form
Return Uniform Receipt Form to Human Resources
Conduct Employee/Supervisor exit meeting
Schedule Employee/HR meeting
Conduct a Security Risk Assessment-is a possible workplace violence scenario likely to erupt from the termination? Is a possible sabotage or theft of college information likely to erupt from the termination?
Collect the following items during the Employee/Supervisor exit meeting *
Keys (office)
Keys (building)
Keys (classroom)
Keys (shop/lab)
Equipment (laptops, cell phones, etc.)
Would you rehire this employee? *
If no, why? (check all that apply) ***Note: You may be required to provide additional documentation to support your reason.
 Check all that apply
Lack of proper notice
Policy violation
Not an organizational culture fit
Questions about this form? Contact Heather Myers.