SCOTLAND COUNTY SCHOOLS
Human Resources Department 322 South Main St. Laurinburg, NC 28352
Resignation Form
Name ____________________________ Employee ID # __________________________
Address ____________________________ Phone _______________________________________
City/State/Zip Code _______________________________________________________________
All Current Positions: Hours per Day: School/Department:
__________________ ___________ _______________
NOTE: Submit to Human Resources immediately upon completion and signature. Do not hold/retain. Late
submission can result in delays in acceptance. As a rule, resignations can only become effective once received in the Human
Resources Office. Once submitted, the employee cannot rescind a resignation.
I hereby resign my position with the Scotland County Schools effective at the end of the day on ____________ List position(s)
resigning. _____________ ______________ ____________
EXPECTED/REQUIRED NOTICE:
Classified Positions: At least fourteen (14) calendar days’ notice is expected. Less notice will be included as part of the
personnel record of the employee and may influence future district employment.
Licensed Positions: State law stipulates at least thirty (30) calendar days’ notice. License revocation is allowable when
acceptable notice is not given.
REASON FOR RESIGNATION: Check One (The numbers below represent state codes only)
______ Retirement (66 or 68) ______ Failure to Obtain/Maintain License (56)
______ To Teach in Another NC System (58) ______ Family Responsibility (57)
______ To Teach in a NC Charter School (70) ______ Relocation (61)
______ To Teach in a NC Non-Public/Private School (71) ______ To Attend School (60)
______ To Teach in Another State (62) ______ Job Dissatisfaction (63)
______ Health (Personal or Family) (64) ______ Career Change (63)
______ To Accept a Non-Teaching Position in Education (59) ______ To Accept Other SCS Employment:
______ Other __________________________________ (65) New Position_______________
Location ________________________________________________________________________
I wish to state that I have no claims or grounds for any claims against my employer based upon my time of employment with the
Scotland County Schools and am submitting this resignation of my own free will. (Employee must send to Principal/Supervisor upon
signing Resignation Form).
______ _________________________________ _______________________________________
E Employee’s Signature Date Signed
__________________________________ _______________________________________
P Principal/Supervisor Signature Date Signed
o (Principal must submit to HR Department upon signing Resignation Form)
Initial this box if you want to request an exit interview.
In Initial this box if you are retiring
click to sign
signature
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