Human Resources

Faculty Notification of Intent to Separate

This form should be completed by the office of the department chair or school dean at the time of notification. 

By submitting this form, a copy will be automatically emailed to the following administrative units for the purpose of ensuring all issues regarding separation are resolved prior to departure:

  • Academic Human Resources
  • Center for Teaching and Learning
  • Human Resources - Benefits
  • Human Resources - Immigration Services
  • Institutional Equity
  • Michigan Tech Research Institute (MTRI)
  • Research and Sponsored Programs
  • Student Records and Registration
Please select the appropriate college dean's office to receive a copy.*



Select separation type.*
For a resignation, an email should be sent directly to Institutional Equity (equity@mtu.edu) with the reason for separation.