Athlete Exit Interview Form
Please complete this form to share your feedback and experience as you depart our program.
Full Name
*
First Name
Last Name
Sport/Team
*
Date of Departure
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Primary Reason for Leaving
*
Graduation
Personal Reasons
Injury/Health
Academic Focus
Transfer to Another Program
Dissatisfaction with Program
Other
Please elaborate on your reason for leaving
How would you rate your overall experience in the program?
*
1
2
3
4
5
Feedback on Training and Facilities
How would you rate the quality of coaching/support staff?
*
1
2
3
4
5
What are your future plans?
Please Select
Continuing Education
Professional/Workforce
Transferring to Another Athletic Program
Taking a Break
Other
What suggestions do you have to improve our program?
Any final comments or messages you’d like to share?
Administrative Notes (for staff use only)
Submit Exit Interview
Should be Empty: