As initially submitted, memorandum #DTA 00-07 dated September 5, 2000, stated that school districts
are required to conduct exit interviews with teachers who leave the district’s employment and report the
results of those exit interviews to the Department of Education every six months. Through this
communication and other technical assistance, the Department of Education is meeting its goal of
delivering quality services in the education of Florida’s student population in one seamless, efficient
system.
There are no changes to the classroom teacher exit interview data collection instruments for the 2005-06
fiscal year. Enclosed are the following documents for use in completing this reporting requirement:
A sample interview questionnaire form and instructions.
Instructions for recording teacher exit interview information on the web site.
School districts have two options for submitting the teacher exit interview data. The first option is to
enter the information on the web-based form at https://info.doe.state.fl.us/exit/. The second option is to
submit the data using file format ESE 076, format number 7214.
325 W. GAINES STREET • SUITE 852• TALLAHASSEE, FL 32399-0400 • (850) 245-0400 • www.fldoe.org
Following district submissions, the Department will summarize the information and post the results of the
exit interviews on the web, in addition to making it available for Department and legislative purposes.
1, 2006, and June 30, 2006.
Questions concerning the submission of exit interview information for classroom teachers should be
directed to Nada B. Stauffer, Program Specialist at nada.stauffer@fldoe.org or call (850) 245-0400 or
Suncom 205-0400.
325 W. GAINES STREET • SUITE 852• TALLAHASSEE, FL 32399-0400 • (850) 245-0400 • www.fldoe.org
FLORIDA DEPARTMENT OF EDUCATION
ACCOUNTABILITY, RESEARCH, AND MEASUREMENT
EDUCATION INFORMATION AND ACCOUNTABILITY SERVICES
EXIT INTERVIEW QUESTIONNAIRE FOR CLASSROOM TEACHERS
NOTE: THIS FORM IS FOR LOCAL USE ONLY. DO NOT SEND THIS
FORM TO THE DEPARTMENT OF EDUCATION.
School District:
School #:
Date of Interview:
EMPLOYEE INFORMATION
Name:
Social Security #:
Length of Service as a Classroom Teacher:
Separation Date:
REASON FOR SEPARATION FROM TEACHING POSITION
Voluntary:
Resignation
Involuntary:
Probationary
Performance
Reduction in Force
Other:
Specify: _____________________
___________________
If voluntary separation was selected above, please indicate the reason(s).
Inadequate salary
Lack of opportunity for advancement
Dissatisfaction with supervisor
Dislike/unsuitability for assigned duties
Resignation in lieu of involuntary termination
Family/personal reasons
Return to continuing education
Relocation
Retirement
End of temporary assignment
Inadequate benefits
Stress on job
Other, Specify:
________________________
Not applicable/Not a voluntary separation
FUTURE EMPLOYMENT
I
f the teacher has accepted employment elsewhere, please indicate one of the following:
Accepted another teaching position
at a nonpublic school within the district
within another district in Florida
outside the State of Florida
Accepted another position in the field of education
within the same district
within another district in Florida
outside the State of Florida
Accepted a position other than teaching or the field of education
within another county in Florida
outside the State of Florida
Not applicable
teacher declines to disclose future plans
teacher has not accepted employment elsewhere
DOE Page 1 of 2
EXIT INTERVIEW QUESTIONNAIRE FOR CLASSROOM TEACHERS
Instructions
Complete this questionnaire or the web enabled counterpart for each classroom teacher leaving a
teaching position in the school district. DO NOT SEND THIS FORM TO THE FLORIDA
DEPARTMENT OF EDUCATION. This form is for local use.
Classroom Teachers
are staff members assigned the professional activity of instructing students in
courses in classroom situations, including basic instruction, exceptional student education, and
vocational-technical education. Include only regular full-time teachers.
Identification Information
•
Complete the school district name, school number, and date of interview fields.
Employee Information
•
Provide the teacher’s first, middle, and last names and social security number.
•
Record the teacher’s total length of teaching service in years and months. Include all teaching
experience within and outside the current school district.
•
Record the teacher’s expected separation date (month/day/year) from the district teaching position.
Reason for Separation from Teaching Position
•
Check
one
reason for separation (resignation, probationary, performance, reduction in force, or
other).
•
If the reason checked is resignation, then also check one or more of the reasons for voluntary
separation.
Future Employment
•
If the teacher has accepted employment elsewhere, check
one
of the boxes to indicate the type and
location of future employment.
DOE Page 2 of 2
Page 1 of 5
Revised Date: October 2005
Effective Date: October 2005
ESE 076 Exp. 09/30/06
Florida Department of Education
Education Information and Accountability Services
Education Data Systems
2005-2006 Classroom Teacher Exit Interview Information
1. Submit one record for each classroom teacher who has separated from a teaching
position in the school district. Records should be submitted no later than
January
31, 2006,
for teachers separating between July 1, 2005, and December 31, 2005.
Records should be submitted no later than
July 15, 2006,
for teachers separating
between January 1, 2006, and June 30, 2006.
2. Submit this format using the dataset name DPSxx.GU.F70123.Y0506A for the
January 31, 2006 submission and dataset name DPSxx.GU.F70123.Y0506B for the
July 15, 2006 submission where xx is the district number.
3. CLASSROOM TEACHERS: Classroom teachers are staff members assigned the
professional activity of instructing students in courses in classroom situations,
including basic instruction, exceptional student education, English for Speakers of
Other Languages and vocational-technical education. These teachers have DOE
Staff Data Base Job Codes placing them on Public Schools Staff Survey EEO-5
lines 21 through 33. Include only regular full-time teachers.
4. SCHOOL NUMBER, PRIMARY/HOME: Use the official state school number for the
school at which the teaching position is located. Itinerant staff should be reported
either at the school that is considered their home location or at the district office
(school number 9001).
5. SOCIAL SECURITY NUMBER: The social security number must be reported for all
teachers leaving teaching. The number should be left justified with a trailing blank.
6. KEY FIELDS: The key fields for this format are item numbers 1 and 2.
CONTACT: Questions regarding this data collection activity should be directed to
Nada B. Stauffer, Program Specialist at Suncom 205-0400, (850) 245-0400, or
Nada.Stauffer@FLDOE.ORG.
7. NOTE: Teacher exit interview information may, alternatively, be entered via a web
based form. If the web form is used do not repeat the information submission using
this format. Only one method of submitting the information for a teacher is needed.
Page 2 of 5
Florida Department of Education
Education Information and Accountability Services/
Education Data Systems
ESE 076 Exp. 09/30/06
2005-2006 CLASSROOM TEACHER EXIT INTERVIEW INFORMATION
FIELD CHARACTERISTICS:
A = Alphabetic only
A/N = Alphanumeric
N = Numeric only
Z = Zoned Numeric
P = Packed decimal
R = Right justified
leading zeros
L = Left justified
TAPE CHARACTERISTICS:
9 Track (odd Parity)
1600 or 6250 BPI, EBCDIC
Record size _160__________
Block size ________________
Dataset Name
DPSxx.GU.F70123.YyyyyA
DPSxx.GU.F70123.YyyyyB
Date: October 2005
Effective Date: October 2005
Format No.: 7214
Activity No.: ESE 076
Item
Number
From-To
Size
Field
Char.
Field Description
1 1-2
2
N/R
District Number
The two digit number for the district in which the
teacher is currently teaching.
2
3-12
10
A/N/L
Social Security Number
The number assigned to an individual by the Social
Security Administration (left justified).
3
13-16
4
N/R
School Number, Primary/Home
The state assigned four digit school number (0001-
9899) which indicates the school at which the teaching
position is located.
4
17-58
42
A/N/L
Employee Name, Legal
The employee’s last, first, and middle names including
appendage, as follows:
(17 characters) Last Name
(3 characters) Appendage
(12 characters) First Name
(10 characters) Middle/Maiden Name or Initial
These are fixed fields.
Page 3 of 5
Florida Department of Education
Education Information and Accountability Services/
Education Data Systems
ESE 076 Exp. 09/30/06
2005-2006 CLASSROOM TEACHER EXIT INTERVIEW INFORMATION
Item
Number
From-To
Size
Field
Char.
Field Description
5
59-62
4
N/R
Length of Service as a Classroom Teacher
The number of years and months of classroom teaching
completed by the teacher both in the current district and
outside the district.
Example: (YYMM) 0602 = Six years and two months of
teaching experience
6
63-70
8
N
Separation from Teaching Date
The date of the employee’s separation from teaching
service with the school district.
Example: (MMDDYYYY) 06052005 = June 5, 2005
7
71-71
1
A/N
Reason for Separation from Teaching
Code
Definition
Voluntary
A Resignation
Involuntary
B Probationary
C Performance
D Reduction in Force
Other
E Other
Page 4 of 5
Florida Department of Education
Education Information and Accountability Services/
Education Data Systems
ESE 076 Exp. 09/30/06
2005-2006 CLASSROOM TEACHER EXIT INTERVIEW INFORMATION
Item
Number
From-To
Size
Field
Char.
Field Description
8
72-84
13
A/N
Reason(s) for Voluntary Separation
The reason(s) for voluntary separation from teaching.
Code
Reason
A Inadequate salary
B Lack of opportunity for advancement
C Dissatisfaction with supervisor
D Dislike/unsuitability for assigned duties
E Resignation in lieu of involuntary termination
F Family/personal reasons
G Return to continuing education
H Relocation
I Retirement
J End of temporary assignment
K Inadequate benefits
L Stress on job
M Other
Z Not applicable/not a voluntary separation
