Questions? Call 245-2645 or visit our web site at: www.careerservices.txstate.edu
(Completion
of this form allows Career Services to have accurate employment verification
information.)
Student's Name:
________________________________________________________
Student's Social
Security Number: __________________________________________
____ 1. Voluntarily resigned (Attach a copy of
resignation letter.).
____ 2. Never reported to job.
____ 3. Was habitually late to work.
____ 4. Did not meet appearance standards required
for the position.
____ 5. Habitually misused department's equipment or
supplies.
____ 6. Quality of work was consistently
substandard.
____ 7. Was unable to complete assigned tasks within
deadlines.
____ 8. Conduct was disorderly while on the job.
____
9. Left school or graduated.
____ 10. Other (Be
specific)
______________________________________________________________________
Signature of Account
Manager Date
(Please print):
______________________________________________________________________
Account Manager Department Account Number(s)
TEXAS STATE
UNIVERSITY-SAN MARCOS IS AN EQUAL OPPORTUNITY EMPLOYER