Employee leaving form

Employee leaving form

Your Name

Your Email

Employee Legal First Name

Employee Legal Last Name

Employee Email

Were they recently a PBC student?

Select

Employee's new address if returning home

Job Title

Ministry Center

Select

Reason for Leaving

Select

Date you were notified by the employee :

Final date of employment :

Please briefly describe the reason for termination

Eligible for Rehire?

Select

Date keys & computing device will be turned in

***IMPORTANT NOTE*** if a MacBook device was provided, please have the staff member sign out of iCloud when they turn in their device to HR

Deactivate Gmail, Slack, CCB date

Notes?

Send me a copy of my responses

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