Exiting Employee Form
To be completed by supervisor, once details regarding have been coordinated with employee.
Submitter Name
*
Campus
*
Please Select
Bellingham
Blaine
Central Services
Downtown
Ferndale
North Bay
Sudden Valley
Submitter Name
First Name
Last Name
Submitter Email
*
Employee Name
*
First Name
Last Name
Employee Position
*
Release Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Eligible for Re-Hire?
*
Yes
No
Please explain why the employee is ineligible
*
Please Remove:
*
Credit Card
Keys/Fob
Planning Center Online Access
Rock Access
Social Media Credentials
Website Access
Website Bio
Other
Back
Next
Technology
Will {EmployeeName:First} be turning in a computer?
*
Yes
No
Keeping CTK computer (must be wiped by IT)
Can the computer be wiped? (all files will be deleted)
Yes
No
Please describe what should be saved, where backups should be saved (Drive, server, transferred to individual), and who should have access:
Should {EmployeeName:First}'s e-mail be deactivated?
*
Yes
No
We will enable email forwarding for 60 days. Who should receive their emails?
Other email needs:
Should {EmployeeName:First}'s Google Drive files be transferred?
*
Yes
No
Who should have access to Google Drive documents?
Does {EmployeeName:First} have a 3CX phone extension to deactivate?
*
Yes
No
Additional Comments
*
Submit
Should be Empty: