Attachment I

                               STUDENT TERMINATION
                               ___________________
 
 
MEMO TO:  Career Services
 
FROM   :  _________________________________________________________________
          Account Manager             Account Name          Account Number
 
Student's Name_____________________________________________________________
 
Student's Social Security Number___________________________________________
 
The above named student will no longer be working for this department effective_________________, 20___, for the reason(s) checked below.
 
___ 1.  Student voluntarily resigned (Attach copy of resignation letter)
 
___ 2.  Student never reported to job
 
___ 3.  Student was habitually late to work
 
___ 4.  Student failed to meet appearance standards required for job
 
___ 5.  Student habitually misused department's equipment or supplies
 
___ 6.  Quality of student's work was consistently substandard
 
___ 7.  Student was unable to complete assigned tasks within deadlines
 
___ 8.  Student's conduct was disorderly while on the job
 
___ 9.  Student left school
 
___10.  Other (Be specific)_______________________________________________
 
        __________________________________________________________________
 
 
__________________________________________________________________________
Signature of Account Manager                          Date
 
                     TEXAS STATE UNIVERSITY-SAN MARCOS
                      AN EQUAL OPPORTUNITY EMPLOYER
 
REV. 01/04