ICRAR Staff and Student Departure Form

Thank you for your time at ICRAR

We hope the experience was productive and enjoyable, and we look forward to welcoming you back in the future.

Please complete the checklist and submit prior to your departure.

Your Details

Name *

Departure Date *

You don't have to use the calendar to choose a date, type it in format dd/mm/yyyy.

Forwarding Mail Address *

Please include street, state, postcode, and country.

Forwarding Email Address *

Contact Phone Number *

New role *

Write N/A if not applicable.

New employer *

Write N/A if not applicable.

List of available dates for your Exit Meeting *

All departing staff and students are required to have an exit meeting with Renu Sharma, Associate Director. Lisa Randell will be in touch to schedule your meeting.

Return Checklist

Please ensure that you will complete All relevant tasks prior to your departure

Please check all relevant items that you will complete before you leave. *

Return office keys

Return all equipment (computer/laptop, monitor, cabling, hard drive, mouse etc)

Return any papers you have borrowed

Return all books borrowed from the ICRAR library

Return all books borrowed from the UWA library

Cleaned your desk for the next occupant

Return ICRAR credit card (staff only)

Clear any Concur credit card expenses from your account (staff only)

Exit Information

It is advised that all staff and students complete both the above ICRAR Leaving Checklist and also visit the UWA Staff Departure webpage, where you can find further exit information in regards to salaries and other payments.

General exit guidelines in accordance with UWA policy are as follows:

All staff and students are required to leave a forwarding postal and email address with both ICRAR and UWA. Information for UWA can be done through ESS.
Business system accounts (i.e. UWA email) are terminated on final date of employment.
If you hold a current parking permit, you are required to return it to Uni Park prior to leaving

Personal Information *

I consent to the above personal information being collected for staff administration.

ICRAR is collecting the information in this form for the purposes of Staff Administration only. Your information will not be shared with third parties without your permission. You can read more about how we deal with personal information in our Privacy Policy. You can unsubscribe at any time by contacting us.