Volunteer Exit Interview


Volunteer’s Name: _____________________Start Date: _________________________

Position: _________________________Last Day:________________________

Exit Interview conducted by: ________________________ Date:______________

circlePhone circleIn person circleMail

Volunteer’s Supervisor: ______________________________________________

Type of Separation:        Voluntary                      Involuntary

Reasons for ending the volunteer contract:

Voluntary Involuntary
box   End of agreed on contract box   Uncooperative
box   Job commitments box   Dishonesty
box   Moving away box   Alcohol/drug problems
box   Conflict with supervisor box   Accident prone
box   Conflict with staff members box   Rudeness
box   Conflict with other volunteers box   Inefficient use of time
box   Working conditions not suitable box   Absenteeism

Other reasons or comments:

Future involvement with Literacy Partners of Manitoba:

box  Call on a casual basis for special events/displays
box  Call on a casual basis for help in the office
box  Returning for another long-term commitment beginning:___________________
box  Not interested in any further involvement
box  May possibly return at a later date:___________________________________
box  Other _________________________________________________________


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