Staff Exit Interview Form

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Name Job Title Home / Location/ Department Positive aspects of employee’s time at the Jeesal Group as stated by Employee Negative aspects of employee’s time at the Jeesal Group as stated by Employee Things that could be improved as stated by the Employee Date of joining Date of leaving Reason for leaving given by the Employee/ Any other comments from Employee Staff Exit Interview Form Page 1 of 2 Version: 02 (11/2013) Jeesal Learning Disability Services Future Employer Name Address Employee’s Signature Print Name Job Title Date Manager’s Signature Print Name Job Title Date CEO’s Signature Date When completed please return to HR Department, Jeesal Cawston Park, for retention on HR File/Exit Interviews File Staff Exit Interview Form Page 2 of 2 Version: 02 (11/2013).

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