Galveston County Exit Interview

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14% of survey complete.

Please fill out the questions below pertaining to your Employee Information.

Question Title

* 1. Name (Optional)

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* 2. Gender

Male

Female

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* 3. Department

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* 4. Position/Job Title

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* 5. Type of Position

Full Time

Part Time

Seasonal

Intern

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* 6. Supervisor's Name (Optional)

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* 7. Hire Date

Date / Time

Date

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* 8. Separation Date (Last Working Day)

Date / Time

Date

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* 9. Salary/Pay (Annually OR Per Hour)

Annually

Per Hour