Voluntary Resignation Form

Voluntary Resignation Form
Employee Name*

First NameLast Name
Employee ID*
Date*

MonthDayYear
Date
Effective Date of Resignation*

MonthDayYear
Date
School Email*
example@example.com
Personal Email*
example@example.com
Are you retiring?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position*
Campus or Department*
I understand that my resignation is voluntary and irrevocable if at the end of the contract period or following the acceptance from the Superintendent.
Employee's Signature*

Clear
Date Signed*

MonthDayYear
Date
ADMINISTRATION USE ONLY

Date Returned to Employee: _____________________________________

Date unsubscribed to CHRI: ______________________________________
Should be Empty: