GLD:nbs Enclosures Page 2 Page 1 of 5 Revised Date: October 2003 Effective Date: October 2003 ESE 076 Exp. Page 2 of 5 Florida Department of Education Education Information and Accountability Services/ Education Data Systems ESE 076 Exp. School District: School #: Date of Interview: EMPLOYEE INFORMATION Name: Social Security #: Length of Service as a Classroom Teacher: Separation Date: REASON FOR SEPARATION FROM TEACHING POSITION Voluntary: ? Resignation Involuntary: ? Probationary ? Performance ? Reduction in Force Other: ? Specify: _____________________ ___________________ If voluntary separation was selected above, please indicate the reason(s).
Allowed
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