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5. a) If you are taking another job, what kind of work will you be doing?
b) What has your new place of employment offered you that is more attractive than your present job?
6. Could the University have made any improvements that might have influenced you to stay on the job?
Other remarks (optional):
Employee’s Signature Date
DO NOT WRITE BELOW THIS LINE. OFFICE USE ONLY.
( ) Discussed with employee
( ) Right to file for unemployment benefits
( ) Conversion of benefits
( ) If retiring, state option for payment of unused leave ____________________________________________
Interviewer’s Signature Date