Exit Interview Form - Diocese Of Rapid City

DIOCESE OF RAPID CITY

EXIT INTERVIEW FORM

Name _______________________________________ Date __________________________

Position _____________________________________ Department ____________________

Last day of work _______________________ Date of final check ____________________

Forwarding address for W2 ____________________________________________________

___________________________________________________________________________

I have received the necessary forms for continuing health benefits as allowed by law. ________

I have returned all manuals, equipment, supplies and keys checked out to me.

________

I understand that although I am no longer employed by the Diocese of Rapid City,

I am not to disclose propriety and confidential information that was learned

through my employment with the Diocese.

________

Comments:

__________________________________________________

_________________

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Parent category: Business