2025-2026 MOBILE EHS Employee Termination Form

2025-2026 MOBILE EHS Employee Termination Form

This form is to be used to report any Mobile Early Head Start Teacher resignation or termination. Please complete this form in a timely manner.
Person Completing Form

First NameLast Name
Person Completing Forms Email
example@example.com
Today's Date

MonthDayYear
Date
Teacher/Employee Name

Please provide information regarding the individual that has been Terminated/Resigned.
Name of Person Terminated/Resigned

First NameLast Name
Date of Termination/Resignation

MonthDayYear
Date
Site/Center

CDCA Nina Nicks JosephELC MidcityLighthouse #1 Grand BayLighthouse #3 PrichardMount AraratWatch Me Grow
Reason for Termination/Resignation

DeathDischarged, MisconductDischarged, No MisconductInvoluntary SeparationLay-offQuitQuit- Change in Job FieldQuit- Higher CompensationRelocationRetirementOther
Inactivate Services

Google Workspace - gmailChildPlusLAP-BKasqonlineAccess Control (Verkada, Entrapass)
Should be Empty:

Teacher/Employee Name