University of Denver Employee Exit Interview General Guidelines for Employee: Thank you for taking the time to fill out this form. Your honest input and comments are very important to us as an employer so that we can assist in developing a positive work environment across the many departments of the university. This form will be kept confidential and using your responses only for statistical data. Specific information will not be shared with your supervisor and/or department coworkers. We really encourage you to schedule an in-person interview by calling Human Resources at 303-871-3103. If you are unavailable to attend, please complete as much of the survey as possible and return the Human Resources department: Mary Reed Building 2199 S. University Blvd. 4th Floor Thank you for your time here at the University of Denver and we wish you well in your future employment endeavors! Exit Interview 2016 Exit Interview Form Employee Name or DUID# : ____________________________ Date: _____________ Position Held: _______________________________________ Staff or Faculty: (circle one) Exempt or Non-Exempt (circle one) Department: ________________________________ Supervisor (optional): _________________________ Length of Service: ______________ 1. What is your gender identity? (Optional) Female Male Please describe: ______________ 2. Please check one of the following that apply: (Optional) American Indian or Alaska Native Hispanic or Latino Asian Native Hawaiian or Other Pacific Islander African American or Black White or Caucasian Multiple (two or more races) Undeclared 3. Before you made the decision to leave the University, did you speak with someone about other internal options? Yes No If yes, what options were offered? ______________________________________________________________________________ ______________________________________________________________________________ 5. DU’s commitment to diversity 6. University’s culture 7. Opportunity for growth 8. Opportunity for advancement 9. Opportunity for transfer 10. Opportunity for promotions 11. Competency of upper management Exit Interview 2016 Not Acceptable Poor Below Average Average Good What is your opinion of the following: Excellent 4. Please provide the most important reason(s) you decided to leave the University of Denver. Layoff Pay Retirement Employee Benefits Stress Excessive workload Personal illness/Family illness Relocation Dissatisfaction with supervisor Inadequate training provided Better position which best utilizes my skills and abilities Insufficient opportunity for career growth and learning Insufficient opportunity for advancement and promotion Insufficient work assignments Other:___________________________________________________ Not Acceptable Poor Below Average Average Good Excellent Rate your department on the following: Not Acceptable Poor Below Average Average Good Rate the following benefits: Excellent 12. Communication with employees 13. Training received 14. Equity 15. Demonstration of qualities & principles 16. Provides recognition on the job 17. Follows policies and practices 18. Base Salary 19. Medical insurance 20. Dental insurance 21. Life insurance 22. Retirement plan 23. Tuition Waiver 24. Vacation/Sick leave 25. Why have you decided to resign from the University of Denver? (If Applicable) ______________________________________________________________________________ ______________________________________________________________________________ 26. What could have been done to keep you from resigning? (If Applicable) ______________________________________________________________________________ ______________________________________________________________________________ 27. Looking back, what were some of the original factors that made DU your employer of choice? ______________________________________________________________________________ ______________________________________________________________________________ 28. If you accepted another job, what is that job offering you that DU has not? ______________________________________________________________________________ ______________________________________________________________________________ 29. Would you consider returning to DU for future employment? Yes No 30. What recommendations would make your department a better place to work? ______________________________________________________________________________ ______________________________________________________________________________ 31. Any other comments or concerns? ______________________________________________________________________________ ______________________________________________________________________________ Exit Interview 2016
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