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Get Student Resignation Form - Fall 2011- Spring 2012 - Callutheran

NT INFORMATION LAST NAME FIRST NAME EMAIL CALLUTHERAN.EDU CLU ID # 2011 2012 CLASS YEAR: (choose one) FRESHMAN SOPHOMORE JUNIOR SENIOR POSITION INFORMATION DEPARTMENT NAME STUDENT S POSITION TITLE DATE OF RESIGNATION PLEASE EXPLAIN THE REASON FOR THE RESIGNATION: I understand that I am voluntarily ending my employment with this department and that I will not be paid for any hours worked after the Date of Resignation indicated on this form. STUDENT SIGNATURE DATE SUPERVI.

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