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KWSP Student Termination Notification

Instructions

Please enter the following information and submit to the Career Services Center (submit button at end of form) within 5 working days of the last date of employment.


1. Identification Section


1.

Please list name of employer/company.


2.

Please list the first and last name of the KWSP student.


3.

Please list WKU ID Number of KWSP student if available (NO SSN PLEASE).


4.

Please enter the student's last date of employment (MM/DD/YY)


5.

Please select type of termination.

Student initiated termination

Employer initiated termination


6.

Please enter reason for termination.


7.

Other reason for termination, please list.


8.

First and last name of person submitting notification.


9.

Today's date (MM/DD/YY).


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