Exit Interview Form
Date of Interview
*
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Month
-
Day
Year
Date
Interview was conducted with the
*
Please Select
Pastor
Session/Council
Name of Pastor
First Name
Last Name
Name of Congregation
COM Representative Conducting the Interview
*
First Name
Last Name
Major strengths/weaknesses of the congregation:
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Major strengths/weaknesses of the community:
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Major strengths/weaknesses of the Pastor's ministry and the Session's leadership; dreams for the ministry; significant achievements and any challenges or problems encountered:
*
Critical problems to be dealt with before a new Pastor is sought:
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Recommendation to Presbytery:
*
Recommendation to Succeeding Pastor:
*
Email of Interviewer #2
*
example@examNameple.com
Email of Interviewer #3 (if applicable)
example@example.com
Submitted by
*
First Name
Last Name
Signature
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Please verify that you are human
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