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Exit Interview

Sample

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Sazzad Hossain
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0% found this document useful (0 votes)
55 views3 pages

Exit Interview

Sample

Uploaded by

Sazzad Hossain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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*TOWN OF WEST BOYLSTON POLICY ON

EXIT INTERVIEWS
Purpose:
To ensure that exiting employees are informed of their benefits and rights and to maintain accurate records on
reasons for termination of employment.
Policy:
It is the policy of the Town of West Boylston to ensure that any employee whose employment is being
terminated (voluntarily or involuntarily) receives an exit interview. The exit interview shall be held at the time
of the employees discharge. The interview will be conducted by the Town dministrator or his designee. The
ob!ectives of the exit interview are as follows"
To determine the actual reason for an employees resignation#
To discover any grievances the employee may have about the department in order that corrective
action(s) may be underta$en#
To discover any misunderstandings the employee may have had about his%her !ob& or with his%her
supervisor(s) in order that corrective action(s) may be underta$en#
To retain the goodwill of the employee toward the Town#
To review administrative details with the employee such as benefits continuation rights and
conversion privileges& if any& final pay& re'employment policy& and employment compensation# and
To arrange for the return of any Town of West Boylston property which has not already been
returned to the department supervisor.
Procedure:
(. When an employee announces his%her intention to resign& the supervisor%department head should schedule
an exit interview for the employee with the Town dministrator or his designee as soon as possible.
). When a decision has been made to terminate an employee& the employee should meet with the Town
dministrator or his designee for an exit interview as soon as possible& as appropriate.
*. +uring the exit interview& the Town dministrator or his designee will see$ to meet all ob!ectives listed in
this ,xit Interview -olicy statement.
.. The departing employee will complete the ,xit Interview /orm (sample attached) as thoroughly as possible.
0. ny information obtained during the exit interview may be disclosed to (and%or discussed with) the
supervisor& the +epartment 1ead& the Town dministrator and the Board of 2electmen in order to
investigate any allegation(s) made and%or to be made aware of emerging problem(s). The +epartment 1ead&
the Town dministrator may ma$e recommendations to the Board of 2electmen for corrective action based
on the information contained in the exit interview.
TOWN OF WEST BOYLSTON
EXIT INTERVIEW FORM
,mployees 3ame" 4ob Title"
+epartment" ,mployed /rom 555555555555 To 5555555555555
6eason for 7eaving" 6esignation 555555555 +ischarge 5555555555 7ayoff 5555555555 8ther 55555555555555555555555555
1ave you accepted another position9 :es 5555 3o 5555 If yes& where9
-resent Title" 55555555555555555555555555555555555 3ew Title"
-resent 2alary" 5555555555555555 3ew 2alary" 555555555555555555 dditional /ringe Benefits offered by new employer"

(. 1ow long ago did you begin searching for another position9 What incident or circumstance(s)
made you begin loo$ing for another !ob9

). What were the reasons you decided your career goals could not be met here or could be better met somewhere else9


*. +id you spea$ with your supervisor or anyone else in management or the dministration 8ffice concerning your career goals9
:es 555555 3o 55555
.. If the answer to * above was :es& what was the outcome of this conversation9

0. If the answer to * above was 3o& why not9

;. +id you get along well with your supervisor9 :es 5555 3o 5555. If 3o& please explain"

<. 1ow well did your supervisor handle any complaints or grievances you may have had9

=. What could have been done to ma$e your !ob here more rewarding9

>. What did you li$e best about your !ob9

(?. What did you disli$e about your !ob9

((. What ma$es the Town of West Boylston a good place to wor$9

(). What ma$es the Town of West Boylston a poor place to wor$9

(*. 1ow does your new position compare with the one you are leaving9

(.. 1ow would you rate the following"
4ob responsibilities9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
8pportunity for achieving goals9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
Wor$ environment9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
2upervisor9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
-ay9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
Benefits9
Outstanding Very !!d Satis"a#t!ry Fair $nsatis"a#t!ry
(0. What recommendations would you have for ma$ing your department and%or the Town a better place to wor$9


(;. Would you have stayed if a more'satisfactory arrangement could have been wor$ed out9 :es 55555 3o 55555 If yes& explain"

(<. It has been explained to me that completion of this ,xit Interview form is voluntary and I was given the option not to complete
this form if I so desired. :es 55555 3o 55555
(=. I authori@e the placement of this ,xit Interview form in my personnel file" :es 55555 3o 55555
,mployee 2ignature" 555555555555555555555555555555555555555555555555555 +ate" 555555555555555555555555

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