Fill out this form if you wish to sever all employment with Zumbro House.
*If you are a current employee who wishes to transfer to another position within Zumbro House, please fill out the Transfer Request Form.
Who is completing this form:
Supervisor (or other) on behalf of employee
If you are not the employee, please list your name below, and relationship to the person resigning:
Name of employee resigning:
Two weeks notice given:
Location/Department of current position or float:
Hours currently worked:
Please state last day available to work in current position (we require a two week notice if you wish to be considered for rehire)
Reason for Resignation
Signature of employee resigning or signature of person completing this form on behalf of the employee: