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WAKULLA COUNTY SCHOOL BOARD DEPT. OF HUMAN RESOURCES
                                              EXIT INTERVIEW QUESTIONNAIRE FOR EMPLOYEES


Part I: EMPLOYEE INFORMATION

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* Please Type Full Name:

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* EIN

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* Date of Interview

Date:

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* Length of Service at WCSB

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* Separation Date:

Date
PART II: REASON FOR SEPARATION

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* Reason for Separation from Position

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* If Voluntary separation was selected above, please indicate the reason(s)

PART III: FUTURE EMPLOYMENT

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* If you have accepted employment elsewhere, please select from the below options:

PART IV: SATISFACTION- How satisfied have you been with the following? (Leave blank if it doesn't apply to you!)

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* How satisfied have you been with the following? (Leave blank if it doesn't apply to you)

  Extremely Satisfied Satisfied Unsatisfied Unsatisfied
Advancement Potential:
Benefits:
Co-Worker Relationships
Employee Morale
Immediate Supervisor
Job Recognition
Job Training
Pay
Quality of Work Environment
Work was Interesting
Workload

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* Please enter any additional information you would like to add that is not covered in the previous questions.

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