Human Resources Employee Exit Interview Form - University of the ...

UNIVERSITY OFHuman ResourcesTHE INCARNATE WORD 4301 Broadway CPO 320, San Antonio, TX 78209Telephone: (210) 829-6019; Fax: (210) 829-3847Employee Exit Interview FormThe University of Incarnate Word is constantly striving to improve its Human Resources practices andstriving to make the University a better place to work. To that end, the Department of Human Resourcesprovides departing employees an opportunity to express opinions about their employment. Yourcomments and suggestions will help us improve the work environment at UIW. Responses are consideredconfidential and will not be used in any way to affect your employment elsewhere. Thank you for yourtime.Employee Name: ________________________Position Title: ___________________________Employee I.D. #:_________________________ Supervisor: _____________________________Hire Date: ______________________________ Termination Date: _______________________Please indicate the main factor(s) that influenced your decision to leave UIW: (check all that apply)_____ Accepted position in private sector university_____ Accepted position in public sector university_____ Anticipated non-reappointment/tenure denial_____ Contract expired/ tenure denied_____ Change in direction of career_____ Compensation_____ Family Responsibilities_____ Traveling Distance_____ Involuntary Termination_____ Better job opportunity_____ Relocation_____ Retirement_____ Return to school_____ Personal Reasons_____ Working conditions_____ Position eliminated_____ Other (please specify)____________________________________1. What did you like most about:your position?_________________________________________________________________________________________________________________________________________________2. What did you like most about:your department?______________________________________________________________________________________________________________________________________________3. What did you like least about:your position?_________________________________________________________________________________________________________________________________________________4. What did you like least about:your department?______________________________________________________________________________________________________________________________________________5. What is one activity or process the university canimprove?_________________________________________________________________________________________________________________________________________________Continued on next page

6. If you are leaving to accept another position, how does it compare to your previous position?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________7. Did you receive adequate support/training to perform your job? YES NO8. Would you recommend this institution to others as a good place to work?YES YES, with reservations NO9. Please share any additional comments that would benefit the University of the Incarnate Word.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(HR USE ONLY)Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________