Advisor/Career Services Staff Departure Form

Please inform the Office of Undergraduate Advising (OUA) of advisor/career services professional staff departures.

Thank you!

Name*
First Last
E-mail
NetID
Unit or Department - Departing*

(e.g. Cross College Advising Service, Department of Economics, etc.)
Working Title

(e.g. Assistant Director, Academic Advisor, etc.)
Payroll Title

(e.g. Sr. Advisor, Student Services Coordinator, etc.)
Primary Function(s)*
- Academic Advising
- Career Services
- Both (Academic Advising & Career Services)
- Other
End Date*
MM slash DD slash YYYY

Official end date in position
Please select one of the following:*
- Employee is leaving employment at the university
- Employee is leaving their advising/career services role for a non-advising/career services role at the university
- Employee is leaving current advising/career services role for another advising/careers services role at the university
Current Supervisor's Name
Current Supervisor's E-mail Address
Comments
Name
This field is for validation purposes and should be left unchanged.