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Employee Resignation Form
Please fill out this 4 question form to notifiy HCCSC of your resignation .
6
Questions
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1
Choose one below:
Resignation
Retirement
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2
Name
First Name
Last Name
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3
Location/ Department
Please Select
Aministration Office
Andrews
Crestview
Flint Springs
Food Service
Horace Mann
Huntington North
Learning Center
Lincoln
Maintenance
Riverview
Roanoke
Salamonie
Technology
Transportation
Please Select
Please Select
Aministration Office
Andrews
Crestview
Flint Springs
Food Service
Horace Mann
Huntington North
Learning Center
Lincoln
Maintenance
Riverview
Roanoke
Salamonie
Technology
Transportation
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Enter
4
End Date
-
Date
Year
Month
Day
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5
Reason for Leaving
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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6
Employee Signature
Clear
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7
Principal/Adminstrator Email
example@example.com
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Should be Empty:
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