Student Employee Termination This form must be submitted by a PLU staff or faculty member. Student supervisors are not authorized to report a student employee termination. Employer's information Your Name Your Department Email Student Employee's information Student's Name ID Number Job Title Termination Date REASON FOR TERMINATIONStudent Left VoluntarilyStudent Was DismissedJob EndedStudent Graduated or Withdrew reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Need assistance with this form?