Staff Exit Interview Form

Thank you for taking the time to fill out our interview form.  This form will be submitted to the Human Resources department.

Please note items marked with an * are required.

First Name  *
Last Name  *
 
Last 4 of SSN or Staff #  *
 
For verification purposes, please indicate the last 4 of your SSN or your staff number
Today's Date
 
Hire Date (enter approx date if you can't recall)
  Show Date Picker
 End Date
  Show Date Picker
Please select your primary location  *
Please check all other locations you were assigned to 
WHS 
WMS 
Man 
WPS
JSMS 
RES
 
REAL
Transportation 
Central Office 

Your Position  *
  
Please indicate your primary reason for joining us
    
1) My salary was competitive with other school districts in the area
       
 2) My benefits package was competitive with other school districts in the area
       
3) My administrator engaged in activities that ensured that the vision and mission of the District was effectively communicated to staff, parents, students and community members
 
4) My administrator engaged in activities that ensured that the vision and mission of the School/Program was effectively communicated to staff, parents, students and community members
 
5)My administrator is an educational leader who promotes the success for all students by facilitating a vision of learning that is shared and supported by staff and the greater school community
 
6) I was satisfied with my supervision and evaluation process
 
7) The quality of my supervision was adequate and appropriate
 
8) I enjoyed the type of work
 
 9) I was provided sufficient opportunity for professional development/advancement
 
 10) My workload was reasonable
 
11)  I had positive relationships with my co-workers
 
 12) I had positive relationships with my supervisor and/or administrator

 

 13) I was provided sufficient resources to perform my job
 
 14) My working conditions were satisfactory
 
15) The position for which I was hired was accurately represented at the interview
 
16) I felt that the District provided a welcoming, safe and supportive environment for its employees
   
17) Please tell us your #1 primary reason for leaving   *
 
 18) Please tell us your #2 primary reason for leaving
 
Please check off all your reasons for leaving us   * 
Better Benefits
 
Better Job Opportunity
 
Better Working Conditions 
  
Shorter Commuting Distance
   
Difficulty with Supervisor
 
Family Circumstances
 
Funding Ended
 
Return To School
 
No Advancement Opportunities
 
Better Pay
 
Retirement
 
Self-Employment
 
Illness
 
Relocation
 
Other--Please let us know any unlisted reasons for leaving us   

Please indicate your overall satisfaction here *   

Is there anything that could have been done to prevent you from leaving?

Would you recommend this district as a place of employment?    

Why or Why Not?

Would you like an opportunity to have an Exit Interview with the Assistant Superintendent?  *   

If you would like an Exit Interview, would you prefer a phone conference or to meet in person?      

If you want an Exit Interview, please contact Terri Marin tmarin@rsu14.org  892-1800 x 2014 to schedule an appointment.

If you chose phone conference with the Assistant Superintendent, indicate your phone number here:

Please also let us know an email address we can contact you through: 

Which day/times work best for you?

Is there anything you would like us to know that we haven't already asked? Please indicate below:


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