401.17 Exit Interview

Code No. 401.17

EXIT INTERVIEW

Employees discontinuing employment with the school district shall be provided the opportunity for an exit interview.

Approved 12-19-95 Reviewed 2-20-2023 Revised 5-20-2019

401.17E1 Consent Form for Confidential Exit Interview

Code No. 401.17E1

Consent Form for Confidential Exit Interview

The school district encourages employees who leave employment with the district to participate in an Exit Interview.

The purpose of the Exit Interview is to provide the district the opportunity to benefit from the employee's observations on conditions of employment while with the district. The administration and the Board of Education will consider this information in its efforts to improve the district. The employee who agrees to an Exit Interview will be asked to answer questions listed on the attached Exit Interview Form. The interview will be conducted by the superintendent unless the employee designates another member(s) of the administrative team or member(s) of the Board of Education.

By signing this form the employee authorizes any information provided to be used in total or summary by the district. The employee may request that her/his name and/or position be deleted from the information as it is used by the district to evaluate employment conditions. The employee should designate the persons who will receive copies of this Exit Interview and if she/he wishes to have a copy placed in his/her personnel file.

The employee may selectively choose not to comment on questions within the Exit Interview.

EXITING EMPLOYEE AUTHORIZATION:

1. I agree to have ___________________________ conduct the Exit Interview.

2. I (do) (do not) wish to have a member of the Board of Education present at the Exit Interview.

3. I agree to have copies of my Exit Interview given to ________________________________________________

4. I (do) (do not) wish to have a copy of my Exit Interview placed in my personnel file.

5. I (do) (do not) wish to have my name or position noted on my Exit Interview form.

6. I (do) (do not) wish to have a copy of my Exit Interview Form.

7. I (do) (do not) wish to have a follow-up letter from the Exit Interview.

Exiting Employee's Signature ________________________________________

Date ________________________________

Approved 5-20-2019 Reviewed 2-20-2023

401.17E2 Confidential Exit Interview Form

Code No. 401.17E2

Confidential Exit Interview Form

1. What was your opinion of: (circle one for each area)

Your pay: excellent good fair poor

Your hours: excellent good fair poor

Assigned duties & work load: excellent good fair poor

Supervision: excellent good fair poor

Working condition: excellent good fair poor

Co-workers: excellent good fair poor

Comments: ___________________________________________________________________

_____________________________________________________________________________

2. Did you get adequate in-service training? Yes no

3. Have you obtained another position? Yes no

Does it have?

Better Pay: yes no

Shorter hours: yes no

Better opportunity: yes no

Better working environment: yes no

4. What changes about the working conditions could be made that might change your mind about leaving?

Comments : _________________________________________________________________

_____________________________________________________________________________

5. Will you be doing:

Same kind of work?

Different kind of work?

If different work, what type of work? ________________________________

6. What specific changes would you make to your job descriptions and functions?

_____________________________________________________________________________

7. What changes would you make in functions of staff who affected your assignment?

_____________________________________________________________________________

8. Do you have abilities and skills that you feel were not used?_____________

_____________________________________________________________________________

9. What changes would you suggest to improve the services of the district? _

_____________________________________________________________________________

10. Do you feel you have been treated fairly during the duration of your employment with the district? __________________________________________________________________

_____________________________________________________________________________

11. After you leave, what image of this district will you discuss with other people?

_____________________________________________________________________________

12. Any comments or questions you would like to add? _______________________

_____________________________________________________________________________

SIGNATURES:

Exiting Employee _______________________________ Date ________________

Authorized Interviewer ___________________________ Date _______________

Approved 5-20-2019 Reviewed 2-20-2023