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