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BizFuel Solutions

The It Specialists

Exit Interview Form

Name of Employee:

Employment Date commenced:

Post & Grade:

Date of Leaving:

Line Manager:

Name of Interviewer:

Date of Interview:

1.

Why are you leaving?

If the employee is leaving to take up alternative employment, please answer questions 2- 5.


If the employee is leaving for any other reason, please go to question 6.

2. What job are you moving to (including the name of the organisation)?

3. What attracted you to your new job?

4. How does your new job differ from the one you are leaving?

5. How different will the salary & benefits package be in your new job?

6.

What is your opinion of your development at BizFuel Solutions?

7. Are there any changes to practices/policies that you would like to recommend?

8. Comments & Suggestions

9.How would the interviewee describe their ethnic origin?

Black or Black British

White

Caribbean
African
Other (please specify)
...

British
Irish
Other (please specify)
...

Asian or Asian British

Mixed

Indian
Pakistani
Bangladeshi
Other (please specify)
...

White and Black Caribbean


White and Black African
White and Asian
Other (please specify)
...

Chinese

Any other Ethnic Group

Chinese
Other (please specify)
...

Arab
Other (please specify)
...

Signature of Interviewer: ___________________________

Date: ______________

Signature of Employee: _____________________________

Date: ___________

Copy to Human Resource Manager: _________________

Date: ___________

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