Part-Time Employee Exit Interview

Personal Information

Name Position/Job Title Department Start Date Last Day Worked

---

Reason for Leaving

Please state your primary reason for leaving Did you accept another position? Yes No

---

Job Experience

What did you like most about your job? What did you like least about your job? How would you describe your relationship with your supervisor? How would you describe the work environment and culture?

---

Suggestions

What suggestions do you have for improving this position or department? Any additional comments?