TERMINATION FORM FEDERAL WORK STUDY PROGRAM

Please fill out this form to terminate a work-study student.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

* Student Employee     * UM ID     * Department Name     * Position #     * Supervisor     * Job Title     * Total Amount Earned by Student   (Total Amt. earned by student under this assignment)     * Last Day of employment   (Must be the last day of a pay period)     * Reason for Termination     * Date     Name of Department Head   (if applicable)     * Address & Phone Number