Empoyee Exit Interview Employee Exit Interview Please enable JavaScript in your browser to complete this form.Bluefield University values the input of our departing employees. Therefore, we are asking you to complete the Exit Interview form below. The intent of this Exit Interview is to ensure that our employees are informed of important information regarding their departure, benefits, and final pay. This form is also used to review administrative details with the employee such as benefit continuation rights and conversion privileges, if any, final pay, and as a reminder to return the following: University Photo ID Card Office keys or any vehicle keys Key to Campus mailbox located in the Campus Store - if any University issued credit cards Computer/phone - any equipment owned by the University Any additional University-owned or issued property. Please keep in mind that all property including all electronic documents, files, records, equipment, manuals, media, supplies, or similar materials and information stored on the College computers remain property of the University and must be returned intact when leaving employment. Please complete this form as thoroughly as possible and be advised that any pertinent information disclosed during the exit interview may be shared and/or discussed with the University President or university leadership as deemed appropriate. Employee Name *FirstLastPositionAddressAddress Line 1Address Line 2CityState / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePersonal EmailStart DateSeparation DateLength of ServiceReasons For LeavingHave you accepted another position?YesNoWhat prompted you to seek another job?When did you begin searching for another job?What makes the new job more attractive than your current position?What made you decide that your career goals could be better achieved elsewhere?Have you spoken with anyone, either your director or supervisor about your career goals?In your opinion, have there been adequate career opportunities available at Bluefield UniversityYesNoWhat types of career opportunities are important to you?Promotional OpportunitiesPosition RotationsIncreased ResponsibilitiesSpecial ProjectsNot looking for any progressionOther(Select all that apply)If Other, please elaborateJob Satisfaction1 Star = Unsatisfactory   5 Stars = OutstandingJob ResponsibilitiesRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Opportunity for Achieving GoalsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Work EnvironmentRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Director / ManagerRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Pay / CompensationRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5BenefitsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5What did you enjoy most about your job?What did you enjoy least about your job?What makes Bluefield University a good place to work?What makes Bluefield University an undesirable place to work?What recommendation would you have for making Bluefield University as a whole a better place to work?Would you have stayed if a more satisfactory arrangement could have been worked out?YesNoDo you have any further comments?I plan to return the following: *Photo University ID CardOffice keys or any vehicle keysUniversity Issued credit cards and receiptsKey to campus mailbox in Campus Store if anyComputer/Phone - any equipment owned by the UniversityAny additional University owned or issued propertyPlease sign and date this form using the box below authorizing the placement of this Exit Interview form within your file. When you have completed the form and signed it, please press the "submit" button. Please sign here: *Clear SignatureDate: *Submit