Student Accountability Form Student Accountability Points Supervisors overseeing a student worker funded by the UCA Commitment program may report performance issues using this form. Upon submission, a copy of the completed form will be sent to the submitting supervisor, student, and UCA Commitment Office. Accruing five (5) points during one semester for any combination of offenses will result in a student worker’s employment being reviewed by Human Resources (HR), which may result in termination, and affect renewal eligibility for UCA Commitment work study participation. Supervisor Name* First Last Supervisor Email* Student Name* First Last Student ID*Student Email*Please enter the student's Cub account. Infraction Type(s)*Please indicate the type(s) of infraction(s) you are reporting related to your student worker's performance. You should select all that apply. Attendance Performance Miscellaneous Attendance Infraction(s)* Misrepresentation of time worked Failure to report time Not following assigned schedule Leaving early Late/tardy Call in to shift with less than 48 hr notice No call no show Performance Infraction(s)*Please select all that apply. Dress code violation Excessive personal phone use Failure to maintain a professional & productive workplace Miscellaneous Infraction(s)Please select all that apply. Failure to complete task as assigned Failure to fulfill duties Insubordination Please provide the details related to the insubordination occurrence(s).*