Humble ISD
Mid Year Release from Contract Request Form

(Resignation Request After 45 day Resignation Deadline - Contract Employees Only)

Employee Name: *

Campus: *

Position *

Resignation Effective Date to be Released from Contract: * +

This form shall serve as official notice that I am requesting that the Board of Trustees or the Board's designee accept the proposed resignation and that the mid-year resignation must be approved by the Board of Trustees or Board's designee.

Reason I am requesting to be released from contract: *

Summarize Reason: *

I understand that my decision to resign is irrevocable and may not be retracted. I further understand that all my benefits will terminate on the last day of the month in which my resignation from Humble ISD is effective. It is my responsibility to convert any benefits I wish to continue either directly with the vendor or through COBRA.

Signature: *

clear

Date: * +

Cell Phone: *

Email: *

Humble ISD Mid Year Release from Contract Request Form

Humble ISD
Mid Year Release from Contract Request Form