Work-Study Termination Form

Supervisor's Name:*

First Name

Last Name

Supervisor's Email Address:*

Please note that all correspondence will be sent to your official UNC email address. Please be sure to check your official UNC email address regularly.

Department:*

Process Disclaimers Information

Please read the information in this section to confirm you are eligible to complete this form. If you have any questions, please email the WS Team at work-study@unc.edu before completing this form.

1. Work-Study (WS) Supervisors are not required to complete this form if a student’s employment is being terminated for one of the following reasons:
- The student is graduating
- The student is ending work-study at the conclusion of the term they were hired for
- The student is ending work-study because they have earned the full amount of their award and is being transitioned to a departmental funding source
2. Before completing this form, the WS Supervisor should have at least one of the following:
- A written statement from the student resigning the job of their own volition
- Two or more documented conversations between the WS Supervisor and student discussing:
- The supervisor’s expectations of student performance and the student failing to meet those expectations
- Steps the student can take to meet the supervisor’s expectations
- A mutually agreed course of action for the student to take
- Confirmation from a departmental representative or shared services officer that the supervisor has met departmental standards to terminate the student’s employment
- An email to the student’s UNC email account giving the student 3 or more business days to respond before their position is terminated AND documentation from the supervisor that the student did not respond within the offered time frame
3. WS Supervisors are responsible for ensuring that student earnings through the WS program at the time of termination do not exceed the student’s Work-Study award as per program regulations. If unmet, department assumes responsibility.
4. Termination actions will be processed within 5 business days of receipt
5. WS Supervisors wishing to repost a job and need assistance should send an email to work-study@unc.edu
6. WS Supervisors are required to contact their HR Officer/Shared Services Center to terminate the student in Connect Carolina. This form only prompts us to terminate the student in JobX.

Student-Employee Information

Student's PID Number:*

If you do not have a UNC PID number, please use 700000000.

Student's Name:*

First Name

Last Name

JobX Job ID of the position from which the student is being terminated:*

A 4- or 5-digit number found on the left of the JobX Manager screen.

Student's Last Date of Employment:*

Please describe the reason for termination:*

Has the student earned any wages thus far in this role?*

Yes No

Estimated amount of earnings to date:* $

Supervisor's Information Certification and Digital Signature

I am certifying that I have read the information provided and am requesting a termination of employment for the student identified in this form.

By typing my name and checking the box below, I certify by electronic signature that I am the above named supervisor

Please enter your legal name:*

First Name

Last Name

Supervisor Certification and Digital Signature:*

Yes, I certify and digitally sign attesting to the truth and completeness of all information I am providing to the best of my knowledge.