Voluntary Resignation Form printable pdf download

Voluntary Resignation Form

COLONIAL INTERMEDIATE UNIT 20

6 Danforth Drive

Easton, Pennsylvania 18045-7899

VOLUNTARY RESIGNATION FORM

Date________________________________________

I, _____________________________________________, hereby tender my voluntary resignation from

my employment in the position of ___________________________________________________ with Colonial

Intermediate Unit 20.

The last day of my employment will be __________________________________________________.

For PSERS notification only, please indicate last actual working day (regardless of date listed above)

___________________________________________.

The reason for my resignation is:

______ Other employment

______ Dissatisfaction with wages or conditions

______ Retirement

______ Moving from the area

______ Transportation problems

______ Illness or other physical reasons

______ Family or domestic reasons

______ Other reasons (please explain below)

_________________________________________________________________________________________

Signature _____________________________________________

Home Address ________________________________________

________________________________________

Phone Number ________________________________________

PLEASE RETURN TO THE HUMAN RESOURCES OFFICE

CIU-3 (7/09)

Voluntary Resignation Form