Request for Resignation / Retirement

Campus/Department Resignation or Retirement

Service Records for Professional staff completing their contract will be processed after July 1st.

EMPLOYEE DETAILS

* required information

Ms. Mrs. Mr. Dr.

First Name

*

Last Name:

*

Middle Initial:

Social Security:

*
Use xxx-xx-xxxx format (include hyphens)

Address:

Apt #: *

City, State, Zip:

*

REQUEST DETAILS
The employee requests that the Board of Trustees/Superintendent of the Spring Branch Independent School District consent to:

Resign Type:

* Resignation
   Retirement
   Termination


Employee's last day of work is (not resignation date):

*
Example: 06-14-2006.

Request service records, certificates and transcripts be sent to the mailing address listed above:

Yes No *

Reason for leaving District (Please check at least one box). *
Retirement
Family obligations
Return to school
Maternity or medical
Failure to remove certification deficiency
Enter field outside education
Resign from leave of absence
Resigned in Lieu of Discharge
Discharged
Discontinue working (please comment)
Dissatisfied with job (please comment)
Moving from Greater Houston area
Accept another teacher/admin position (please indicate name of district/school in comment box)
Other (please explain in comment box)

Any additional comments:

If this resignation/retirement creates a vacancy on your campus, do you want the position to be posted? (Please enter vacancy in blank below) Yes No *

I have received a resignation from this employee.
Approving Administrator:
*

If a letter of resignation has not been received from the employee, please print signature page, sign and submit to Human Resources. (Please follow the instructions on how to print the signature page after you have submitted the form.)

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Spring Branch ISD

Service Records for Professional staff completing their contract will be processed after July 1st.
EMPLOYEE DETAILS	* required information
	Ms. Mrs. Mr. Dr.
First Name	*
Last Name:	*
Middle Initial:
Social Security:	* Use xxx-xx-xxxx format (include hyphens)
Address:	Apt #: *
City, State, Zip:	*

REQUEST DETAILS The employee requests that the Board of Trustees/Superintendent of the Spring Branch Independent School District consent to:
Resign Type:	* Resignation Retirement Termination
Employee's last day of work is (not resignation date):	* Example: 06-14-2006.
Request service records, certificates and transcripts be sent to the mailing address listed above:	Yes No *


Any additional comments:
If this resignation/retirement creates a vacancy on your campus, do you want the position to be posted? (Please enter vacancy in blank below) Yes No *
I have received a resignation from this employee. Approving Administrator: * If a letter of resignation has not been received from the employee, please print signature page, sign and submit to Human Resources. (Please follow the instructions on how to print the signature page after you have submitted the form.)