
Student Employee Termination Notice  
Dear  
 
This document serves as notice that your student employment position with the University of Colorado Colorado 
Springs as a                                                                  in the                                                                                     
has been terminated effective                              . 
 
Either party, employer or employee, may end employment at any time. A work study employee who’s position is 
terminated during the semester may not get another work study job that semester. 
 
_________________________________   _____________________________   ______________  ______________ 
 
 
____________________________    ______________________________     _______________  
SupervisorName
SupervisorSignature
ReportstoPosion#
Date
Dept.ApproverName ApproverSignature
Date
Employee ID #: 
Position #: 
Student ID #:     
Pay Rate:
 
Effective Date: 
Name:       
Student Assistant Level:  
Action Reason: 
Department #:  
Reason for Termination: 
Student Employment Office Only: 
 
    ____________________________________________          _________________________________________  
  
Entered by: 
Date:
Date:
Approvedby:
Date: 
Student Employment Office 
Cragmor Hall, Room 104 
1420 Austin Bluffs Parkway 
Colorado Springs, CO 80918 
Phone:  719-255-3454 
Web: www.uccs.edu/stuemp 
Please explain the reason for termination.