2. Transition Type
   -- Select One --Transition position/departmentRetirementCondolencesNew HireOther

   Choose the transition you are submitting then scroll down and answer the corresponding questions as you are able. 

4. Transitioning from one position/department to another.

   If you are filling this out for someone else, please fill out any questions you know the answer to and that make sense for the transition. You may leave answers blank if there is no information to provide. 

   
   

6. First and Last Name
8. City/Village
10. If transitioning, what position and department are you vacating?
11. If transitioning, what position and department are you joining?
13. Any other information to share?
17. Retirement

    If you are filling this out for someone else, please fill out any questions you know the answer to and that make sense for the transition. You may leave answers blank if there is no information to provide. 

    
    

19. First and Last Name
21. City/Village
22. Years Served
24. Title
25. Department
27. Job Description

    If transitioning from one job to another, please feel free to share a description of both job duties. 

28. Did you hold other positions within the city/village?

    Share any other positions and job duties you had within the city/village or with other cities/villages.

30. Job Description

    If transitioning from one job to another, please feel free to share a description of both job duties. 

32. Why did you want to join the city/village?
34. What was your favorite part of your job?
36. Is there a a fun fact about your job?
38. Special Message

    Submitting this on someone's behalf and wish to send a special note or send off? Please write a few sentences about the person retiring or a special note about their retirement. The League team will add what we are able to based on space. 

40. Please upload a headshot for use in our magazine with your responses.
42. Please share any photos of you or your team working in your city/village.
44. Please share any photos of you or your team working in your city/village.
46. Please share any photos of you or your team working in your city/village.
50. Condolences

    Please share info about the person who has passed away to the best of your ability.

52. First and Last Name
54. City/Village
55. Position held at the city/village
57. Date of Death
    Date of Death
58. Headshot of photo of employee
60. Link to Obituary if available
62. Comments or statement staff wish to share in memory of the employee lost.
66. New Hire
68. First and Last Name
70. Title
71. Department
75. Anything else to share?
Leave This Blank:


77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit

* indicates a required field