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Exit Interview Form

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Agin, this one was compiled from a few other forms I had seen, just simplified down.

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									Exit Interview
Employee Name Job Title ______________________ Termination Date Eligible for Rehire [ ] Yes [ ] No

Reason for Termination
Voluntary [ [ [ [ [ [ ] ] ] ] ] ] Another Position Personal Reasons Relocation Retirement Return to School Other_______________ [ [ [ [ [ [ ] ] ] ] ] ] Involuntary Attendance Violation of Company Policy Lay Off Reorganization Position Eliminated Other_______________

Employee Comments:

Interviewer Comments:

Employee's Signature

________________________________ ________________________________

Date: ____________________ Date: ___________________

Interviewer's Signature

Questionnaire 1. What are your primary reasons for leaving? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 2. What did you find most satisfying about your job? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 3. What did you find most frustrating about your job? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 4. Would you consider returning to this company in the future? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 5. Is there anything the company could have done to prevent you from leaving? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________


								
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