Exit interviews are a key part of the employer-employee relationship. They provide an opportunity for employers to receive feedback from departing employees about their time at the company and what could have been done to make their experience better. In turn, employees can use the information gained from exit interviews to reflect on their own job performance and career growth. The employee exit interview form is a tool that can help employers conduct these interviews in a systematic way. It includes questions about the employee's experience with the company, why they are leaving, and what they enjoyed (or didn't enjoy) about their time here. This form can be customized to fit your organization's needs, but it is a good starting point for any exit interview conversation.
| Question | Answer |
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| Form Name | Employee Exit Interview Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Porterville, CodeClass, Supervisors, exit interview form |
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Kern Community College District |
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Confidential/Management |
Bakersfield College |
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Classified |
Cerro Coso College |
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2100 Chester Avenue |
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Faculty |
District Office |
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Bakersfield, CA |
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Porterville College |
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Kern Community College District |
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Employee Exit Interview |
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Name |
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Date of Hire |
Date of Separation |
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Position Title |
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Length of Time In the Position |
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Supervisor’s Name and Position Title |
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Department/Division |
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Reason for Separation |
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Check all that apply: |
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Another Position |
Resignation |
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Extended Disability |
Retirement |
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Layoff |
Return to School |
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Termination |
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Personal Reasons |
Other _________________________ |
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Relocation |
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Rate the following by checking the appropriate boxes
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No |
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Category |
Excellent |
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Good |
Fair |
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Poor |
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Opinion |
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Working Conditions |
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Salary |
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Benefits |
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Overall Employee Morale |
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Would you recommend the Kern Community College District as an employer to your friends? |
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Yes No |
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Would you consider future employment with the Kern Community College District? Yes |
No |
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Rate Relationship With Supervisor |
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Almost |
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Topic |
Always |
Usually |
Sometimes |
Never |
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Was consistently fair
Provided recognition
Resolved complaints
Was sensitive to employee’s needs
Provided feedback on performance
Was receptive to open communication
Followed KCCD and site policies and procedures
Over
Exit Interview
Page two
Rate Your Job Experience
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Topic |
Always |
Sometimes |
Never |
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I enjoyed my work activities. |
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I was challenged by my job. |
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My supervisor gave me clear instructions for tasks |
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and responsibilities. |
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I was recognized for my good work. |
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My job description accurately reflects my job |
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responsibilities. |
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I was given honest, worthwhile performance |
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appraisals. |
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My department was adequately staffed. |
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Upper management communicates well with |
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employees. |
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I felt there were opportunities for career |
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advancement. |
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My workload was manageable. |
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Do you have any additional comments regarding your employment in the Kern Community College District?
Signature of Exit Interviewer |
Printed Name of Exit Interviewer |
Date |
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5/2007Original to: District Office Human Resources DO/HR
Records Retention