Employee Resignation Form

• Please fill out ALL of the information:
  
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• Personal Information
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• First Name*
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• Last Name:*
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• Cell Phone*(xxx-xxx-xxxx)
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• Email*(must be filled out to send form)
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• Employee PIN #*
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• Assigned Facility:*
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• Resignation Information
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• Has the Manager been notified:*

  (Choose One)YESNO
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• Has the Supervisor been notified?*

  ~ Choose One ~YESNO
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• Last day of work*
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• Reason for Leaving:*
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• Employee Resignation Agreement*I acknowlege that I am voluntarily resigning my position and therefore will forfeit my seasonal bonus if I leave before the end of the season. Note: Agreement is required by employee

  I agree
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• Security Validationcopy the characters
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• Submit Form
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