Resignation/retirement Notification

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Columbus City Schools 
Human Resources 
Columbus Education Center 
270 East State Street 
Columbus, Ohio  43215
    Phone 614.365.5600 
Fax 614.365.8332 
Mission: Each student is highly educated, prepared for leadership and service, and empowered for success as a citizen in a global community.
Today’s Date: __________________________________
Human Resources
From: ___________________________________________________________________
Employee Name (Please Print)
Position: _________________________________________________________________
Please accept this as my notification of: RESIGNATION
The last day that I plan to work is: ________________________________________
Employee Signature
Employee ID #
My Supervisor’s name is: ___________________________________________________________
I have notified my supervisor of my resignation/retirement: YES
(Circle One)
Please submit this form to Human Resources, with original signatures,
to Employment & Staffing within 24 hours
Notification of Retirement or Resignation Template, Revised 042614 
                   CCS Intranet; HR, Employment & Staffing, Exit Protocols
T h e C o l u m b u s C i t y S c h o o l D i s t r i c t d o e s n o t d i s c r i m i n a t e b a s e d u p o n s e x , r a c e , c o l o r , n a t i o n a l o r i g i n , r e l i g i o n , a g e ,
d i s a b i l i t y , s e x u a l o r i e n t a t i o n , g e n d e r i d e n t i t y / e x p r e s s i o n , a n c e s t r y , f a m i l i a l s t a t u s o r m i l i t a r y s t a t u s w i t h r e g a r d t o
a d m i s s i o n , a c c e s s , t r e a t m e n t o r e m p l o y m e n t . T h i s p o l i c y i s a p p l i c a b l e i n a l l d i s t r i c t p r o g r a m s a n d a c t i v i t i e s .


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Parent category: Business