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iamalcorndev
2022-09-02T12:48:53-05:00
First Name
*
Last Name
*
Email
*
Address
*
City
*
State
*
Zip
*
Gender
Male
Female
Department
*
Current Title
Date of Seperation (mm/dd/yyyy)
*
Length of Service
Please check the reason for leaving your current position
*
Retirement
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End of Contract
Dismissal
Layoff
If Other, Please Specify
Check any of the following which affected your decision to leave your current position:
Self-Employment
Better Fringe Benefits
Better Career Opportunity
Family Circumstances
Supervision
Communting Distance
Moving from Area
Lack of Promotion/Opportunity
Salary/Wages
Health
Other
Please rate each of the following aspects of your employment at ASU:
Parking
please select...
Excellent
Good
Adequate
Poor
N/A
Rate of Pay
please select...
Excellent
Good
Adequate
Poor
N/A
Available Resources for Job
please select...
Excellent
Good
poor
Adequate
N/A
Benefits Package
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Excellent
Good
poor
Adequate
N/A
Resources for Your Family
please select...
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Good
poor
Adequate
N/A
Fairness of Evaluation Process
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poor
Adequate
N/A
Holidays
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poor
Adequate
N/A
Orientation Within Your Department
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poor
Adequate
N/A
Tuition Remission
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poor
Adequate
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Vacation Leave
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poor
Adequate
N/A
Did you receive a current job description when you were hired:
Yes
No
Were job duties and responsibilities properly explained when you were hired:
Yes
No
Were you given proper training and opportunity to learn your job?
Yes
No
Did you receive any information regarding university policies & procedures upon hire?
Yes
No
Was you workload:
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About Right
Varied
Which factors attracted you to ASU?
Interesting Position
Pay
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Opportutnities for Training
Other (Please Specify)
What did you enjoy most about your job at ASU?
Would you recommend employment in your department or at ASU to a friend or colleague?
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No
Future Employer (If Any):
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State
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N/A
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