1. M E M O R A N D U M
      2. FORM TO THE DEPARTMENT OF EDUCATION.
    1. EMPLOYEE INFORMATION
    2.  
    3. FUTURE EMPLOYMENT
  1. EXIT INTERVIEW QUESTIONNAIRE FOR CLASSROOM TEACHERS
    1. Identification Information
    2. Employee Information
    3. Reason for Separation from Teaching Position
    4. Future Employment

FLORIDA DEPARTMENT OF EDUCATION
G
ARNET
L. D
UKES
, J
R
., B
UREAU
C
HIEF
E
DUCATION
I
NFORMATION
A
ND
A
CCOUNTABILITY
S
ERVICES
C
HARLIE
C
RIST
C
OMMISSIONER
325 West
Gaines Street
l
Room 852
l
Tallahassee, Florida 32399-0400
l
(850) 487-2280
l
(850) 922-8041
www.firn.edu/doe/ eias
An affirmative action/equal opportunity employer
M E M O R A N D U M
TO
:
Personnel Directors
MIS Directors
FROM
:
Garnet L. Dukes, Jr., Chief
Education Information and Accountability Services
SUBJECT
:
Classroom Teacher Exit Interview Information
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.
2001-02 Fiscal Year Reporting
Districts have reported classroom teacher exit interview information for the 2001-02 reporting year and this
information has been aggregated into reports available at the following web site address:
http://www.firn.edu/doe/eias/eiaspubs/reports.htm.
2002-03 Fiscal Year Reporting
There are no changes to the classroom teacher exit interview data collection instruments for the 2002-03 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.
 
A format for submission of the information as an alternative to use of 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 www.firn.edu/doe/eias/exitform. The second option is to submit the data
using file format ESE 076, format number 7214.
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.
Records for 2002-03 should be submitted no later than
January 15, 2003,
for teachers separating between July 1,
2002, and December 31, 2002, and no later than
July 15, 2003,
for teachers separating between January 1, 2003,
and June 30, 2003.
Questions concerning the submission of exit interview information for classroom teachers should be directed to
Teresa R. Sancho, Program Specialist at Suncom 278-4930, (850) 488-4930, or Teresa.Sancho@FLDOE.ORG.
GLD:trs
Enclosures

FLORIDA DEPARTMENT OF EDUCATION
DIVISION OF 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:
q
 
Resignation
Involuntary:
q
 
Probationary
q
 
Performance
q
 
Reduction in Force
Other:
q
 
Specify: _____________________
___________________
If voluntary separation was selected above, please indicate the reason(s).
q
 
Inadequate salary
q
 
Lack of opportunity for advancement
q
 
Dissatisfaction with supervisor
q
 
Dislike/unsuitability for assigned duties
q
 
Resignation in lieu of involuntary termination
q
 
Family/personal reasons
q
 
Return to continuing education
q
 
Relocation
q
 
Retirement
q
 
End of temporary assignment
q
 
Inadequate benefits
q
 
Stress on job
q
 
Other, Specify:
________________________
q
 
Not applicable/Not a voluntary separation
FUTURE EMPLOYMENT
If the teacher has accepted employment elsewhere, please indicate one of the following:
Accepted another teaching position
q
 
at a nonpublic school within the district
q
 
within another district in Florida
q
 
outside the State of Florida
Accepted another position in the field of education
q
 
within the same district
q
 
within another district in Florida
q
 
outside the State of Florida
Accepted a position other than teaching or the field of education
q
 
within the same county
q
 
within another county in Florida
q
 
outside the State of Florida
Not applicable
q
 
teacher has not accepted employment elsewhere
ESE
076
Exp.
07/31/03
DOE Page 1 of 2
Florida Department of Education

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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.
ESE
076
DOE Page 2 of 2

Florida Department of Education
Division of Accountability, Research, and Measurement
Education Information and Accountability Services
2002-03 Exit Interview Questionnaire for Classroom Teachers
Web Site for Recording Interview Information
Purpose:
School districts are required to conduct exit interviews with each classroom
teacher who leaves a teaching position in the school district. This web site allows direct
recording of teacher exit interview information.
Web Site Address:
www.firn.edu/doe/eias/exitform.
Access
: In September 2000, each school district was assigned a username and
password that allows access to that district’s exit interview information on the web site.
These usernames and passwords continue to be effective for the 2002-03 fiscal year.
Remember that the username must be entered using all uppercase letters and the
password must be entered using all lower case letters.
Use:
Complete the web based form for each classroom teacher leaving a teaching
position in the school district between July 1, 2002, and June 30, 2003. 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. Include only regular full time teachers.
Timeline:
Enter information for teachers leaving a teaching position between July 1,
2002, and December 31, 2002, no later than
January 15, 2003
. Enter information for
teachers leaving between January 1, 2003, and June 30, 2003, no later than
July 15,
2003
.
Further Information:
Questions should be directed to Teresa R. Sancho, Program
Specialist, Education Information Services, Florida Department of Education, at Suncom
278-4930, (850) 488-4930 or Teresa.Sancho@FLDOE.ORG.

Page 1 of 5
Revised Date: October 2002
Effective Date: October 2002
ESE
076 Exp. 09/30/03
Florida Department of Education
Education Information and Accountability Services
Education Data Systems
2002-2003 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 15,
2003,
for teachers separating between July 1, 2002, and December 31, 2002, and no
later than
July 15, 2003,
for teachers separating between January 1, 2003, and June
30, 2003,.
2.
Submit this format using the dataset name DPSxx.GU.F70123.Y0102A for the January
15, 2003, submission and dataset name DPSxx.GU.F70123.Y0102B for the July 15,
2003, 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 Teresa
R. Sancho, Program Specialist at
Suncom 278-4930, (850) 488-4930 or
Teresa.Sancho@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. 09/30/03
2002-2003 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 2002
Effective Date:
October 2002
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. 09/30/03
2002-2003 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) 06052002 = June 5, 2002
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. 09/30/03
2002-2003 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

Page 5 of 5
Florida Department of Education
Education Information and Accountability Services/
Education Data Systems
ESE
076 Exp. 09/30/03
2002-2003 CLASSROOM TEACHER EXIT INTERVIEW INFORMATION
Item
Number
From-To
Size
Field
Char.
Field Description
9
85-85
1
A
Future Employment Plans
The type and location of future employment accepted by
the teacher.
Accepted another teaching position:
Code
Definition
A
at a nonpublic school within the district
B
within another district in Florida
C
outside the State of Florida
Accepted another position in the field of education:
Code
Definition
D
within the same district
E
within another district in Florida
F
outside the State of Florida
Accepted a position other than teaching or the field of
education:
Code
Definition
G
within the same county
H
within another county in Florida
I
outside the State of Florida
Not applicable
Code
Definition
Z
teacher has not accepted employment
elsewhere
10
86-160
75
A/N
Filler

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