Faculty Exit Interview Form
Personal Information
Full Name
Department
Position
Length of Service
Email
Reason for Leaving
Main Reason
Career Advancement
Personal Reasons
Relocation
Salary/Benefits
Retirement
Job Dissatisfaction
Other
Please explain
Job Experience
Overall, how satisfied were you with your experience?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
What did you like most about your position?
What could be improved?
Working Environment
Comments on colleagues and departmental culture:
Comments on administration and leadership:
Did you feel adequately supported?
Yes
No
If no, please explain:
Final Thoughts
Any advice or suggestions for the department/university?
Would you consider returning in the future?
Yes
No
Maybe
May we contact you for further information?
Yes
No