Exit: Begin Member Exit

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hello Campus Coordinator,

Please complete this form AFTER you have met with the member to verify the correctness of all of their forms, SIGNED ALL OF THE SERVICE HOUR RECORD FORMS, and Signed the End of Term Evaluation that is now in IPT.

When there are issues, the exit process WILL take up to 2 or more weeks.

Each member (or yourself) should have already completed the unlock exit form. We will have added the member's name and information to the exit in progress spreadsheet.

Member Name *

Program Grant Year *

Program *

Priority Status *

Normal

Close to 12 month term

Re-enrolling

Graduating

Exiting Early - COVID-19 Response (Member cannot re-enroll for 2 months)

Exiting without Award in Good Standing (Member is required to fulfill regular exit requirements)

Exit without Award in Poor Standing

Other:

Have you audited the member's Service Hour Record Form? *

Yes

Have you audited the member's Monthly Progress Report Forms? *

Yes

Have you signed the completed End of Term Evaluation? *

Yes

Anything else about this member's exit? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of One Utah Service Fellowship.

Does this form look suspicious? Report

Forms