Clear Form
DIVISION OF HUMAN RESOURCES / LABOR RELATIONS
Fresno Unified School District
NOTIFICATION OF RESIGNATION / EXIT INTERVIEW
I, ______________________________(Name),_______________________(EmployeeID)
hereby resign my position as a(n) _______________________________________(Job Title)
at ____________________________________________________.(School Site/Department)
My last day of work will be __________________________________________.(mm/dd/yy)
Gender:
Male
Female
Length of Service:
Less than 10 years
10 Years or more
I am resigning my position for the following reason:
Please choose one:
Other Career Opportunities
Personal Reasons
Work Location
Retirement
Salary / Wage
Relocation
Employment Conditions
Voluntary Resignation
Workplace Culture and Values
Pursuing Further Education
Notes: ____________________________________________________________________
__________________________________________________________________________
If your resignation is due to a hardship, did you request a leave of absence?
Not applicable to me
No
Yes
What was the outcome?______________________________________________________
Would you work for FUSD again in the future?
Yes
No
Would you recommend employment with FUSD to a friend?
Yes
No
By signing this resignation, I declare that I have notified my school site or department and have given sufficient
notice.
Signature ___________________________________ Date _________________________
Please return to:
Division of Human Resources
2309 Tulare St
Fresno, CA 93721
(559) 457-3500
FAX (559) 457-3601