Team Member's Legal First Name
Team Member's Legal Last Name
Location
Stan Clark Companies
Eskimo Joe's Clothes
Eskimo Joe's Promotional Products Group
Eskimo Joe's
Mexico Joe's
Restaurant Department
FOH
BOH
EJPPG Department
Production
Sales
EJC Department
Stillwater Store
Call Center
Woodland Hills Mall
Distro
Corporate
Holiday Store
SCC Supervisor
*
Please Select
John Killam
Jordan Carris
Kendra Burtrum
Launa Miller
Melissa Hall
Phillip Edgington
Stan Clark
EJ Supervisor
*
Please Select
Aidan Garrett
Alyssa Dady
Dylan Kuzmic
Jody Fowler
Lance Graves
Lindsey Oldham
Samantha Perry
Tim Holland
Whitney Bruning
EJC Supervisor
*
Please Select
Terri Moorman
Laura Demaree
Amber Bradley
Jennifer Miller
Scott Brien
EJPPG Supervisor
*
Please Select
Amber French
Amy McCray
Andi Blankenship
Chad Reed
Kayla Bryant
Kelly Allen
Michelle Rader
Mikhael Reed
Rita Gordon
Steve Allilson
Taylor Lovekamp
MJ Supervisor
*
Please Select
Alexis Brady
Chelsea Stallberg
Cristie Leach
Hayden Owens
Kendall Brown
Mason Bookout
Last Date Worked
-
Month
-
Day
Year
Date
Term Reason (SELECT ONE)
*
Employee Quit Voluntarily
Management Terminated Employee
Reason For Term (SELECT ONE)
*
Quit Showing Up (Job Abandonment)
Took Another Job (If you know where the employee took another job at, please insert it in the next section)
School
Graduation
Moved (If employee moved due to school or graduation, please select either school or graduation)
Did not return from Leave of Absence
Internship
Left because they were going to receive a discipline such as a coaching or an Action Plan Form
Personal Reasons unrelated to job
Left for the season (Summer Break)
Unknown
Reason For Management Termination
*
Absenteeism/Tardiness
Insubordination
Unsatisfactory Performance
Company Policy Violation
Layoff
Other
Please provide additional Information:
Eligible for Rehire after Resignation
*
Yes
Yes, with reservations (Explain in Notes)
Not For Two Years
Not At Any Time
Eligible for Rehire after Termination
*
Not For Two Years
Not At Any Time
Notes
*
Please add DESCRIPTIVE, FACTUAL notes that you want added into the file. This can be positive notes, like punctual, picked up shifts for other team members, trained to work multiple jobs in the kitchen, etc. It can also be the reason for your reservations such as prior disciplinary issues, etc. This helps us in determining rehire decisions and unemployment claim appeals.
Please rate the employee based on their time with the company
*
Please Select
CONSISTENTLY performs at an outstanding level (5)
FREQUENTLY exceeds expectations (4)
Meets Standards (3)
Improvement Needed (2)
Unsatisfactory (1)
Today's Date
-
Month
-
Day
Year
Date
Name of Person Completing this Form
First Name
Last Name
Manager's email
A copy of this form will be sent to them.
Signature
Submit
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