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Georgia Department of Juvenile Justice
Office of Human Resources
A resource provided by The Administrative Applications Team of OTIS
Having trouble with this site? Contact HR:
404-294-3431
Katrina Patterson, Director
DJJ Web Site
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Current Position or Title
Job Title:
On Behalf Of
Person to Contact:
Tel / Contact #:
Location Category:
Title:
Email:
   
Location:
Alternate Contact Information
Prefix:
Name (Last, First):
,
Tel/Contact#:
Email:
Location Information
Final Office Name:
Primary Phone #:
Address:
City, State Zip
City
Location Contact Info
Location director
Other
(override email address)
Location Asst directorNone specified
Other
(override email address)

LocationApproverNames:

LocationApproverEmails:

Org -Division/Office   (Important: Controls Division approvers for this request)
Division:
Office:
DivisionApproverNames :

DivisionApproverEmails:
ACName:
ACEmail:

Region
Primary Region
Click the button to the right
to show Regions. Select III for Central
District
Primary District:
Click the button to the right
to show Districts. Select 3B for Central
Requirements
Requirement Details:

Request Summary
Summary of important elements of the request:
Approvers
Approving Name:
Name of Supervisor, Director, or Division Head
Approver Email Address
Approver Telephone
Detailed Notes
Provide Detailed notes or any other information below:
Narrative
Provide a narrative below:
Inbound Email Information
Email Below is from inbound email:
To:
Body of incoming email

Request Origin
Origin/Source:
Request Type Selection


Clear and Reload New
Clear and Reload Current (Direct)
Quick Note To Requester
Email Control
Requester(s)?
Additional To:
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Other CC:
Instructions for ExitSurvey1
DJJ Employee Exit Interview
Work Location Full Name:
Category/Division:
Location:
Job Title:
Email:
All fields above are optional
Position Information
Years with the Department? Less than 1 1 to 3 3 to 5 5 to 10 10 to 15 15 to 25 Greater than 25
Type of Termination Retirement Resignation Transfer to State Agency Private Sector
Management and Supervision
Always Frequently Sometimes Seldom Never
My supervisor gave me clear expectations .. .. .. .. ..
When I had questions I was able to get timely answers .. .. .. .. ..
Management kept me informed of changes affecting me .. .. .. .. ..
My supervisor handled work problems satisfactorily .. .. .. .. ..
My concerns were handled in a timely manner .. .. .. .. ..
My supervisor was fair and objective .. .. .. .. ..
Performance Management forms were explained to me .. .. .. .. ..
Performance Management forms were fair and helpful .. .. .. .. ..
Work Environment
Always Frequently Sometimes Seldom Never
Safety precautions were followed at my work site .. .. .. .. ..
I felt safe at work .. .. .. .. ..
My coworkers and I worked well together .. .. .. .. ..
Please rate the following items
N/A Excellent Good Average Fair Poor
Working Conditions .. .. .. .. .. ..
Pay relative to work effort .. .. .. .. .. ..
Retirement Plans .. .. .. .. .. ..
Health Insurance .. .. .. .. .. ..
Promotional opportunities .. .. .. .. .. ..
Vacation/Time Off .. .. .. .. .. ..
Salary .. .. .. .. .. ..
Job Training
Additional Comments
How were you impacted
Primary reason for leaving?
Select the BEST things about your experience at DJJ Priority 1:
Priority 2:
Priority 3:
Select the WORST things about your experience at DJJ Priority 1:
Priority 2:
Priority 3:
Select the things that MOST influenced your decision to leave DJJ Priority 1:
Priority 2:
Priority 3:
DJJ Employee Exit Interview - 27 Questions - User Anonymity Active




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