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Exit Form
Store Number *
Name *
Team Member
Team Leader
Assistant Manager
Store Manager
Multi-Unit Manager
Area Manager
Maintenance Staff
Job Title *
Hire Date *
Exit Date *
Nature of Employee's Departure *
Voluntary (Quit/Resigned)
Involuntary (Terminated)
Who terminated this employee (if applicable)? *
N/A (Not Terminated)
In Person
Text Message
Phone Call
Email
How was the employee terminated (if applicable)? *
Unexcused Absences Dates (list) *
Disciplinary Actions Taken *
Verbal Warning
Coaching Form
Employee Written Warning
Suspension
N/A (None)
Documentation Dates *
Would you recommend for rehire? *
Yes
No
Reason for Departure *
Accepted Another Job
Attendance or Tardiness
Failed Probationary Period
Failure to Perform Job Duties
Falsification of Records
Health Reasons
Insubordination
Job Abandonment
Personal
Quit to Move
Retired
Returned to School
Violation of Company Policy
Other
Explanation Further (if needed)
Comments on Work Performance
Supervisor *
Area Manager
Assistant Manager
Maintenance Staff
Manager-In-Training
Multi-Unit Manager
Store Manager
Regional Director
Title *
Date *
