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FLORIDA A&M UNIVERSITY
LETTER OF RESIGNATION AND ACCEPTANCE FORM
_________________________________
(Date of Resignation)
To Whom It May Concern:
I, ______________________________________, hereby resign my position at Florida A&M University,
(Employee’s Name)
_____________________________________, effective _______________________________________
(Department or Division) (Date Resignation will be effective or fill in the word “immediately.”)
The reason for my resignation is:__________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(Examples would be – “accept a position with another employer,” “retirement,” “pursue other career interests,”
“health reasons” etc.)
My signature acknowledges that I am resigning voluntarily and without coercion on the University’s part,
and that I acknowledge my responsibility to schedule an exit interview with Human Resources by
contacting and scheduling the interview with either Shakonda Peters or Shauna Allen at (850) 599-3611.
___________________________________________ _______________________________________
(Employee’s Signature) (Date Resignation Signed by Employee)
This letter of resignation is accepted on behalf of Florida A & M University by
___________________________________________.
(Title of Immediate Supervisor Accepting Resignation)
___________________________________________ ______________________________________
(Signature of Immediate Supervisor) (Date Resignation Accepted by Immediate Supervisor)
Instructions for Completion and Distributing Letter of Resignation
It is the responsibility of the Immediate Supervisor to promptly accept a letter of resignation and to provide a copy
of the resignation letter to the Director of Labor and Employee Relations, Mr. David Voss no later than twenty-four
(24) hours after the resignation has been signed by the employee and the immediate supervisor. This copy may be
faxed to (850) 412-5569. A hard copy must be provided to Mr. Voss no later than three (3) working days after the
resignation. His office is located in 208A Foote-Hilyer Administration Center.
HR-LR 5 (01/17/07)
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