Exit Form
To Human Resources Department
Account Manager:
*
Please Select
LMCU Account Manager
Wyoming Account Manager
Kentwood Account Manager
Bissell Account Manager
MSU Account Manager
Mercantile Account Manager
Haworth Account Manager
Motus Account Manager
City of Grand Rapids Account Manager
Non Team Led Account Manager
West Ottawa Account Manager
Grand Haven Schools Account Manager
Muskegon Area Account Manager
Choice One Account Manager
White Cloud Schools Account Manager
Hesperia Schools Account Manager
Gerber Account Manager
Kent City Account Manager
Newaygo Account Manager
Ludington Account Manager
Saugatuck Public Schools Group
Black River Public Schools Group
Whitehall Schools Account Manager
Schools Region Support
Corp/Mun Region Support
Howmet Account Manager
Other
Employee's Full Name
*
Current Role of Employee:
Please Select
Custodian
Team Lead
Support Team
Project Technician
Project Lead
Equipment Manager
Account Manager
Regional Manager
Customer Success Manager
Assigned Building
Your Email: (a copy of this form will be emailed to address provided)
*
example@wmjanitorial.com
Direct Report Email: (a copy of this form will be emailed to address provided)
example@example.com
Date of Exit:
*
/
Month
/
Day
Year
Date
Last Day Worked:
*
/
Month
/
Day
Year
Date
Circumstances of Exit:
*
Please Select
Quit Unknown Reason / Voluntary
Quit with Reason / Voluntary
Fired for Cause / Involuntary
Never Started / Voluntary
Other
REMARKS: Provide a short synopsis. Highlight FACTUAL data only:
Check Reason(s) for Action Taken:
Absence unreported (no call, no show)
Carelessness
Improper conduct
Destruction of property
Dishonesty
Foul language on premises
Dress improper
Housekeeping poor
Failure to comply with work requests
Time Sheet Violation
Unauthorized family or others on premises
Under the influence of alcohol
Fighting on premises
Violation of Safety Rules
Insubordination
Work defective or improper
Excessive tardiness
Sexual Harassment
Task uncompleted (performance issues)
Other:
Does the employee have any of the following company assets? ( Manager Responsible to Collect and Turn into Office Department)
Credit Card
Phone
Keys
Vehicle
Other
Re-hire recommended:
*
Yes (if chosen another form will open to complete)
No
Please select which of the following options apply?
*
A Kwantek Posting Exists currently for this position
A NEW posting is needed to fill this position
Position has been filled internally and no action is needed
Other
Attach Screenshots or Other Relevant Information:
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