Exit Interview Form

EMPLOYEE EXIT INTERVIEW

PURPOSE

The intent of this Exit Interview is to ensure that any employee is informed of his/her rights, benefits, and the records are collected and maintained regarding the termination of employment.

First Name

Last Name

Job Title

Start Date

Separation Date

Reason for Leaving

REASONS FOR LEAVING

Have you accepted another position?

What prompted you to seek another job?

When did you begin searching for another job?

What improvements do you need?

What types of career opportunities are important to you? (Select all that apply)

Promotional Opportunities

Position Rotations

Increased Responsibilities

Special Projects

Overseas

Not looking for any progression

Other

JOB SATISFACTION

What did you enjoy most about your job?

What did you enjoy least about your job?

Please mention feedback for HR team

Would you have stayed if a more satisfactory arrangement could have been worked out?

Date