Employee Exit Interview Form Page 3
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5. a) If you are taking another job, what kind of work will you be doing?
b) What has your new place of employment offered you that is more attractive than your present job?
6. Could the University have made any improvements that might have influenced you to stay on the job?
Other remarks (optional):
_____________________________________________________
__________________________
Employee’s Signature
Date
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DO NOT WRITE BELOW THIS LINE. OFFICE USE ONLY.
( ) Discussed with employee
( ) Right to file for unemployment benefits
( ) Conversion of benefits
( ) If retiring, state option for payment of unused leave ____________________________________________
______________________________________________________
__________________________
Interviewer’s Signature
Date
08/24/10
Page 3 of 3
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Parent category: Business