Separation Form (ESF) from Clinical
Services/Clinic Manager to clear campus:
There are 9 areas listed to obtain clearance signatures, but you will only
need to clear 8 areas.
requires you to complete the Nursing Exit Interview Form located
and bring the
printed verification form to the Nurse Recruitment Office for signature.
In the Campus Police/Parking
Operations box write in "Transfer to PRN Pool"
You are required to pay any parking fees but will keep your ID
DO NOT GO
to the Library, Credit Union, Medical Records or HIPPA Compliance.
Upon completion, submit
completed form back to Clinical Services/Clinic Manager to
process any terminal vacation for payment.
competencies are required to be current. Check status by logging
into Training Tracker.
Nursing Recruitment Office BEFOREyour last
working day to ensure your PRN application was received and approved.
Failure to secure a transfer by the end of the pay period will result in
processing of termination papers.