Notice of Separation/Termination of Employment from Montgomery County Public Schools
MCPS FORM # 480-4G
Your completion of this form will separate/terminate you from all positions. If there is a position you currently hold in MCPS you wish to keep, please contact the Office of Human Resources and Development to discuss: 301-279-3278.
From the MCEA Contract -
"A tenured unit member wishing to terminate employment, or vacate his/her position, must give written notice to the Office of Human Resources and Development on or before July 15.”
“A probationary a.k.a. non-tenured unit member must provide such written notice no later than May 1, except that a probationary unit member hired on or after January 1 must do so no later than June 15. Except in cases of emergency, resignations with less than proper notice will be considered a breach of contract.”
* Required
Email address
*
Your email
Employee First Name
*
Your answer
Employee Last Name
*
Your answer
Employee Middle Name
Your answer
MCPS Employee ID
*
Your answer
Employee Type
*
Permanent
Temporary
Substitute
School / Location
*
Your answer
Position
*
Your answer
Do you hold more than one position with MCPS? (Examples: coach, substitute, etc)
*
Your completion of this form will terminate you from all positions. If there is a position you currently hold in MCPS you wish to keep, please contact the office of human resources and development to discuss: 301-279-3278
No
Yes
Required
Department
Your answer
Last Day of Work
*
MM
/
DD
/
YYYY
Resignation/Retirement Effective Date (if on leave may be different than Last Day of Work)
*
MM
/
DD
/
YYYY
Current Address
*
Your answer
Forwarding Address (if different from current)
Your answer
Effective date for new address
MM
/
DD
/
YYYY
Telephone Number - Primary
*
Your answer
Telephone Number - Secondary
Your answer
Reason for Separation/Termination
*
Academic Study
Relocation
Home Responsibilities
Retirement
Military Service
Other:
Accepted Position in
Other MD County
Non-Public School
Private Business
Federal Government
MSDE
Higher Ed
Other:
Clear selection
I will comply with checkout procedures at my school/office and will return all MCPS property. I understand that my electronic submission of this form and my check in the box at the end of this paragraph is intended to be, constitutes and is equivalent of my personal signature.
*
I agree
Required
Even though I am ending employment at the end of this school year, I would like to work during the summer for 2021
*
Yes
No
Required
Submit
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