MCSD Employee Resignation/Retirement Form
This form should be completed by the employee, and can/should be done with as much advance notice as possible.


NOTE:  Failure to provide a two (2) week notice will result in ineligibility for rehire for at least one (1) year from the date of resignation.

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Email *
Employee's Last Name *
Employee's First Name, Middle Initial *
Employee's Last 4 digits SSN *
Personal Email Address *
Employee ID Number
Employee Group *
Position Title *
Building(s) *
Required
Principal / Supervisor *
Intended Last Day of Work *
MM
/
DD
/
YYYY
Current Academic Year *
Forwarding Address *
Permanent Address, if different from Forwarding
Submit a brief statement of resignation *
Reason(s) for Resignation *
Required
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