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Employee Exit Interview

Employee Exit Interview

Thank you for your candid comments. This form will be given to your administrator and the president to assist HLGU in determining weaknesses and strengths in respective areas.

"*" indicates required fields

Step 1 of 6

16%

Your Name*

First Last

Job Title*

Department*

Supervisor Name*

First Last

Start Date with Organization*

MM slash DD slash YYYY

Start Date of Job Position*

MM slash DD slash YYYY

Termination Date*

MM slash DD slash YYYY

Total Length of Service*

Other Position(s) Held with Organization

Please describe the primary reason(s) you are leaving your current position.*

Did dissatisfaction with any of the following factors influence your decision to leave?

Type of work*

Yes

No

Working conditions*

Yes

No

Salary*

Yes

No

Supervisor*

Yes

No

Location*

Yes

No

Cost of living in area*

Yes

No

Commute*

Yes

No

Type of work comment:*

Working conditions comment:*

Salary comment:*

Supervisor comment:*

Location comment:*

Cost of living in area comment:*

Commute comment:*

Other comments about the reason you are leaving:

Please rate the following aspects of the job you are vacating.

Provide comment below for a rating of 1 or 2.

Type of work performed*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Fairness of workload*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Salary*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Working conditions*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Tools and equipment provided*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Training received*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Co-workers*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Supervision received*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Level of input in decisions that affected you*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Type of work performed comment:*

Fairness of workload comment:*

Salary comment:*

Working conditions comment:*

Tools and equipment provided comment:*

Training received comment:*

Co-workers comment:*

Supervision received comment:*

Level of input in decisions that affected you comment:*

Please rate the following aspects of the organization overall.

Provide comment below for a rating of 1 or 2.

Recruitment process*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

New employee orientation*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Training opportunities*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Career development opportunities*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Employee morale*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Fair treatment of employees*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Recognition for a job well done*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Support of work-life balance*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Cooperation within the university*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Communication between management and employees*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Performance and development planning and evaluation*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Interest and investment in employees*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Commitment to customer service*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Concern with quality and excellence*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Administrative policies/procedures*

1 - Very Poor

2 - Poor

3 - Average

4 - Good

5 - Excellent

Recruitment process comment:*

New employee orientation comment:

Training opportunities comment:

Career development opportunities comment:

Employee morale comment:

Fair treatment of employees comment:

Recognition for a job well done comment:

Support of work-life balance comment:

Cooperation within the university comment:

Communication between management and employees comment:

Performance and development planning and evaluation comment:

Interest and investment in employees comment:

Commitment to customer service comment:

Concern with quality and excellence comment:

Administrative policies/procedures comment:

Other comments about the organization overall:

Please rate your supervisor on the following factors.

Provide comment below for a rating of 1 or 2.

Gave usable performance feedback*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Recognized accomplishments*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Clearly communicated expectations*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Treated you fairly and respectfully*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Coached, trained, and developed you*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Provided leadership*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Encouraged teamwork and cooperation*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Resolved concerns promptly*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Listened to suggestions and feedback*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Kept employees informed*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Supported work-life balance*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Provided appropriate and challenging assignments*

1 - Never

2 - Seldom

3 - Often

4 - Usually

5 - Always

Gave usable performance feedback comment:*

Recognized accomplishments comment:*

Clearly communicated expectations comment:*

Treated you fairly and respectfully comment:*

Coached, trained, and developed you comment:*

Provided leadership comment:*

Encouraged teamwork and cooperation comment:*

Resolved concerns promptly comment:*

Listened to suggestions and feedback comment:*

Kept employees informed comment:*

Supported work-life balance comment:*

Provided appropriate and challenging assignments comment:*

Other comments about your supervisor:

If you accepted another job and are willing, please complete the following:

Name of new employer:

Location:

Job title:

Duties:

Salary:

What your new position offers that we do not:

Signature*

Forms

Request Info

Full Name*
Phone*
Email*
Degree Programs*
Please check only one box.
- Undergraduate (2-4 yr. degrees)
- Graduate (Master's Degree)
- Degree Completion
- Nursing
- International Applicants
Address*
Street Address Address Line 2 City State ZIP Code
Area of Interest (ex. : business)
High School Graduation year*
Degrees offered*
- Business Management
- Criminal Justice
- Social Services
- Christian Ministries (Jefferson City Only)
- Teacher Education (Poplar Bluff Only)
Location
- Hannibal
- Poplar Bluff
- Jefferson City
Country*
ESL
- yes
- no
Which program are you interested in?*
- Practical Nursing Program
- LPN to RN
- Associate of Science in Nursing Program
- RN to BSN Online Program
Tell us about yourself. Are you*
- A transfer student
- first time college student
- other
Graduate School Programs*
- Master of Arts in Leadership
- Master of Science in Education
- Master of Education in Administration
Master of Arts in Leadership tracks
- Christian Ministry
- Business Management
Master of Science in Education tracks
- 30 Hr. Teaching & Learning (usually for certified teachers)
- Teaching & Learning Special Reading
- Teaching & Learning Initial Certification
Teaching & Learning Certification Area of Study
- Elementary (K-6)
- Middle School (5-9)
- Secondary (9-12)
- K-12 (Art, PE, Music)
- Special Education (K-12)
Master of Education in Administration tracks
- K-12 Principalship
What time of day would you prefer to be contacted?
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Comments
This field is for validation purposes and should be left unchanged.

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The mission of Hannibal-LaGrange University is to transform lives and communities through relevant education anchored in a Biblical worldview.

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2800 Palmyra Road, Hannibal, Missouri 63401

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Teacher Example Letter

Teacher Education Committee

Hannibal-LaGrange University

2800 Palmyra Road

Hannibal, MO 63401

Dear Members of the Teacher Education Committee,

I am writing to request admittance into the Teacher Education Program at Hannibal-LaGrange University. My name is Margie Smith, and I am a twenty-year-old from Hannibal, Missouri. I attended Mark Twain Elementary and then Hannibal Middle School and Hannibal High School. While I was a high school student, I was a member of FCCLA (Future Career Community Leaders of America), Student Council, and FTA (Future Teachers Association). As a member of FTA, I was able to go into various elementary classrooms to help with math groups. It was during these experiences I decided that I wanted to become an elementary teacher.

I have been a member of Immanuel Baptist Church since I was eight years old. In my high school years, I went on several mission trips, helped with Bible School, and assisted with AWANA. No matter what activities I helped with, I always enjoyed working with children. I know that my skills and background can help me to contribute in a meaningful way to the field of education.

Throughout my years of working with children, I have definitely learned something about myself. I want each child to believe in himself or herself. We all learn in different ways, and no two people are the same. I want a classroom of my own where each child feels like a part of a positive community of learners. Each student needs to feel valued so that he or she can reach their full potential.

In conclusion, I am sure that my background, passion for children, and dedication to learning make me a strong candidate for the Teacher Education Program. I am excited about the opportunity to further develop my teaching skills and to contribute in a meaningful way to the field of education. Thank you for considering my application. I look forward to joining the Teacher Education Program at HLGU.

Sincerely,

Margie Smith