Qualtrics Survey | Qualtrics Experience Management

Welcome to the Departure Form!
This form should be completed as soon as you know you're leaving the College. The results are then sent to the LITS Help Desk and Facilities to begin facilitating your departure.

If we need any further information, our support personnel may reach out to you via email, phone, or the Help Desk's ticketing system (TeamDynamix).

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Please be aware that in Section 2 of 2, you will be asked
to provide a picture of the departing employee's office space.

This question is not mandatory, but is highly recommended.

Please provide your contact information:

Full name

College email address

Phone extension
(e.g., x7440)

Are you completing this form for yourself?

Yes
No

Please provide information about the employee who is leaving the College:

Full name

College email address

Phone extension
(e.g., x7440)