GUIDANCE and COUNSELING CENTER                EXIT INTERVIEW FORM
This Exit Interview is required for all the students (for Transfer or Graduating) seeking clearance from the Guidance Office. Information gathered will help improve the institution as well the its services. We encourage students to be  truthful in filling-out this form. All information are kept confidential.
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Purpose of Clearance Signing (Ex: Transfer, Graduating, Withdraw, etc) *
Name: *
Sex: *
Course and Year: *
Year Enrolled *
Year Ended/Graduating *
MM
/
DD
/
YYYY
Contact/Mobile Number *
Email Add: *
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