EMPLOYEE REFERRAL FORM

Company Name	YOUR LOGO
ATTN: Name / Dept
123 Main Street
Hamilton, OH 44416
(321) 456-7890
Email Address
REFERRING EMPLOYEE	REFERRAL GUIDELINES AND INSTRUCTIONS
EMP NAME	Return the completed form, along with the resume and / or completed application, of the referred candidate to HR. A referral award in the amount of $000.00 will be issued if the referred candidate is hired and has completed 00 work days with the company. Employees responsible for hiring decisions regarding the position for which the candidate is referred are not eligible to receive referral awards. Candidates referred by multiple employees will only result in one referral award. The award will be issued to the employee referral submission first received.
EMP ID
DEPARTMENT
EMAIL
TELEPHONE
DATE SUBMITTED
CANDIDATE
NAME
EMAIL
TELEPHONE
POSITION FOR WHICH CANDIDATE IS REFERRED
STATE YOUR BELIEF AS TO WHY THE REFERRED CANDIDATE IS BEST QUALIFIED FOR THE AVAILABLE POSITION
–– Remember to include a copy of the candidate's resume and / or completed application with the completed form. ––
HUMAN RESOURCES USE ONLY
DATE RECEIVED	NOTES:
DATE OF CONTACT
DATE OF INTERVIEW
DATE OF HIRE
DATE OF AWARD ISSUE
HR REP NAME
HR REP SIGNATURE

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