EmailMeForm
DSP RESIGNATION
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:
*
Employee (Self)
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:
*
Today's Date
*
MM
/
DD
/
YYYY
Two weeks notice given:
*
Yes
No
Location/Department of current position or float:
*
Please select
5th Ave
Bloomington
Bossen
Chicago
Christian Park
Drew
Dupont
Float
Fremont
Harrison
Jurdy
Oliver
Pillsbury
Queen
Running Park
Washburn
Newport Commons
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)
*
MM
/
DD
/
YYYY
Reason for Resignation
*
Signature of employee resigning or signature of person completing this form on behalf of the employee:
*
Clear
