You must have JavaScript enabled to use this form. Employee Acknowledgement As a separating employee, you have valuable information to provide for helping future employees. The University requests that you complete a brief exit survey. We seek your honest feedback. Your input is key to improving our employment environment. The focus of this survey is to learn the reasons you chose to leave this position. Your responses to this survey are confidential and cannot be shared with the public, if requested. Your survey responses will NOT become part of your personnel file. Name (optional): Title (optional): Department (optional): Length of Service: The race and gender questions help with demographic studies but are not required Race Hispanic or Latino Asian Native Hawaiian or Pacific Islander Black or African American Native American or Alaskan Native White Gender Male Female Indicate which of the following contributed to your decision to leave. (Please check all that apply.) Available Opportunities Benefits Career Change Compensation Family Circumstances Health Reasons Lack of Recognition Moving out of Area Retirement Supervisor/Manager Type of Work Work Conditions Other… Enter other… For how long have you intended to make the change? Who did you receive supervision from (optional)? What did you think of your supervision in regard to the following? Demonstrated fair and equal treatment Almost Always Sometimes Never Provided recognition on the job Almost Always Sometimes Never Fostered cooperation and teamwork Almost Always Sometimes Never Encouraged/listened to suggestions Almost Always Sometimes Never Resolved complaints and problems Almost Always Sometimes Never Followed policies and practices Almost Always Sometimes Never Communicated effectively Almost Always Sometimes Never Was competent and credible Almost Always Sometimes Never Supervision comments: How would you rate the following in relation to your job? Teamwork within your department Excellent Good Fair Poor Teamwork across other departments Excellent Good Fair Poor Tools and resources needed to do your job effectively Excellent Good Fair Poor Safe equipment and procedures Excellent Good Fair Poor Morale in your department Excellent Good Fair Poor Personal job satisfaction Excellent Good Fair Poor Training you received Excellent Good Fair Poor Growth potential Excellent Good Fair Poor Union representation (if applicable) Excellent Good Fair Poor Was your work load usually: Too great Varied, but all right About right Too light Job-related comments: How did you feel about your salary and the employee benefits? Hourly rate/salary Excellent Good Fair Poor Medical plan Excellent Good Fair Poor Dental/Vision plan Excellent Good Fair Poor Retirement/403b Excellent Good Fair Poor Tuition Scholarship Excellent Good Fair Poor Leave Time: Annual Excellent Good Fair Poor Family Care Excellent Good Fair Poor Personal Excellent Good Fair Poor Sick Excellent Good Fair Poor Life insurance Excellent Good Fair Poor Are there any other benefits you feel should be offered? Yes No Salary and employee benefits comments: What would you change about your NMU work environment? Based on your experience with us, what do you think it takes to succeed at this organization? Did NMU help you fulfill your career goals? What did you like most about your job at the university? How do you generally feel about your time at NMU? Would you like to meet with a university representative to discuss your responses? Yes No If yes, please provide a contact number: Leave this field blank
