Resignation Form For Voluntary Separations Page 2
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1
2Employee Name:
Page Two
During my employment, the areas of work I enjoyed the most are, and/or in which I made the most
accomplishment are:
The ultimate decision to resign and which will be coded in the University system as the reason for leaving is (check
only one):
TER/AAP
Accepted Another Position: voluntary resignation by an employee to accept another position,
not related to pay or related to moving/relocation.
TER/AHS
Accepted Higher Salary: voluntary resignation by an employee to accept a position that pays
a higher salary.
TER/MIL
Military: voluntary resignation by an employee to pursue military duties.
TER/PAY
Pay: voluntary resignation by employee because he/she is dissatisfied with pay.
TER/PER
Personal: voluntary resignation by employee for reasons unrelated to working conditions.
TER/QNN
Quit Without Notice: to be used when employee resigns without required 2 week notice.
NOTE: Do not use code if department agreed to a shorter period of notice.
TER/REL
Relation: voluntary resignation by an employee to relocate to another city, state, or country.
TER/RET
Return to school: voluntary resignation by employee to pursue his/her education.
TER/WOR
Dissatisfied with Working conditions: resigns because of dissatisfaction with some aspect of job
(e.g. conflict with supervisor or coworkers, doesn’t like type of work, hours, or schedule)
TER/LAT
Lateral: employee accepts a different position in the same title or pay range.
Applies to benefit-eligible positions only.
**********************************************************************************
________________________________________________
_________________________
Signature of Resigning Employee
Date
________________________________________________
_________________________
Signature of Supervisor
Date
Submit completed form to region/unit director and forward a copy to:
University of Missouri Extension Human Resources
205 Whitten Hall
Columbia, MO 65211
Or fax to: 573-882-2595
MU Extension Staff Resources / HR / last updated 01/2007
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