Montgomery County Public Schools

Exit Questionnaire

Part I

Employee Name (optional): Position: Full Time Part Time

Location: Date Hired: Date of Separation:

School Administrator/Teacher Classified/Support Staff

Other positions held in this division:

Experience in other school divisions:

Part II

On the basis of your most recent assignment, please indicate the degree of strengths and weaknesses in the Montgomery County Public Schools as you see them. For strongly positive responses, select Excellent; for strongly negative responses, select Poor; for no opinion, select No Opinion.

PART III

Please rate each of the following benefits that apply to your employment:

Please rate communication in the following areas:

Did your administrator\supervisor evaluate you on an annual basis? Yes No

PART IV

Would you return to this school system if given the opportunity? Yes No
What is your reason for leaving the Montgomery County Public School System?
Would you recommend the Montgomery County Public School system to a friend as a good system in which to work? Yes No

If you have reservations, please explain:

Additional Comments:

*Completed document will be submitted to the Personnel Supervisor