S:\HALLS_Administration\Accommodation\Forms\2017\Other\Notice of Termination.docx 161212
Exit Interview
Resident:............................................................................................. Date of Interview: ..............................................
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Interviewer Declaration
I hereby confirm that I have informed the above named Resident of the consequences of clause 13 of the
Residential Agreement.
Signed: ........................................................................................................... Date: .........................................................
Coordinator of Residential Life / Staff Member