Templates Employment Hr Exit Interview Form
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EXIT INTERVIEW FORM

Employee Name: [NAME]
Position: [TITLE]
Department: [DEPARTMENT]
Manager: [MANAGER]
Last Day Worked: [DATE]

1. Reason for Leaving

☐ New opportunity
☐ Compensation
☐ Work environment
☐ Management
☐ Relocation
☐ Personal reasons
☐ Other: [OTHER]

2. Feedback

What did you enjoy most about your job?
[RESPONSE]

What challenges did you experience?
[RESPONSE]

What could the Company improve?
[RESPONSE]

3. Would You Consider Returning?

☐ Yes
☐ No
☐ Maybe

4. Final Reminders

Return of Company property confirmed: ☐ Yes ☐ No
Ongoing confidentiality obligations reviewed: ☐ Yes ☐ No

Employee Signature (optional): ____________________
Date: [DATE]

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