ࡱ> DFC  bjbj ; hh D0MMMMM(((vxxxxxxnx(((((xMM:::(.MMv:(v:::MpTV":b0:x::(((:(((((xx .(((((((((((((((( :  Office of Human Resource Services The ϻ - Missoula Emma B. Lommasson Center, Rm 252 Missoula, Montana 59812-1800 Phone: (406) 243-6766 FAX: (406) 243-6095 Student Exit Assessment Checklist STUDENT NAME: _________________________ STUDENT ID: ___________________ LAST DAY WORKED: _______INDEX #: _______________________ROSTER #:_______ Review each item listed on this form. If an item does not apply, mark it N/A. If a transaction occurs, have the person processing the transaction initial upon completion. After completing the checklist, the student and supervisor must sign and date the form and return it to Student Payroll Services. TransactionInitialsDepartmental Supervisor Access to secured areas revoked All keys returned Banner Coordinator Banner computer account closedWe acknowledge that all University property has been returned and the exit process completed. 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