Voluntary Resignation Form

Voluntary Resignation Form
Employee Name:*

First NameLast Name
Program:*
I voluntarily resign my employement with Southwest Oklahoma Community Action effective:*

MonthDayYear
I wish to make clear that I have no claims, or grounds for any claims, against my employer based on my time of employment with the company.
My reasons for leaving are:
Forwarding Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I give the Executive Director permission to release specific information concerning my job performance for future employment.*

YesNo
Employee Signature: (can be done with computer mouse)*
Today's Date:

MonthDayYear
Should be Empty: