We Honor You Retirement Ceremony RSVP Form

* = required field

SECTION I
*Name to be imprinted on award:
We also list all retirees, attending and non-attending, in the retirement ceremony program. If you wish to have a different name listed in the program (a nickname, etc.) than is the one used for your award imprinting, please note it below. For those attending, this will also be the name read aloud at the ceremony.
Preferred name:
*Employee ID number:	*Retirement date:
Number of years of active service with FCPS in a contracted position at the time of retirement: Any discrepancy with the official FCPS calculation will be shared with you and resolved collaboratively.*
E-mail address: Use personal email address if retired or retiring prior to April 30, 2025.*	*Phone number:
*Street address:
City: State: *Zip code:
I will attend (Complete Section II and click the Submit button)	I will not attend (Skip Section II and click the Submit button)
SECTION II
If you have a name that's typically mispronounced, please provide pronunciation hints below. (Example: Wili Cao - pronounced Wheelie Cow)
Number of guests attending the ceremony with you:
Please note that seating is graduation style; you will be seated with all other retirees (by years of service), and guests may sit in seating not marked for retirees (or blocked off).
A 50-75 word profile highlighting your career will be read by Leadership while you receive your award. Please submit your profile, written from a third-person point of view, in the box below. If you have any questions, see the sample profiles or e-mail [email protected].

Will you or your guests need any special accommodations? Yes No
If yes, please list any special accommodations that you or your guests will need at the event (sign language interpreter, wheelchair accessibility, etc.).