Company Name

Employee Referral Form

Referral Guidelines

To refer a potential employee, please complete this form and return it, along with a copy of the prospective candidate’s resume, application, or both, to the Human Resources department.

You are eligible for a referral award only when you refer external candidates.

If the candidate you refer is hired, you will receive a referral award of $amount after the new employee has worked for Company Name for 90 days.

Employees involved in the hiring decision for a particular position are not eligible for referral awards for that position.

Only one referral award can be given per candidate. If a candidate is referred by more than one employee, the first referral received will be the one rewarded if the candidate is hired.

Employee Information

Employee Name:	Employee Name	Date:	Date
Employee ID:	Employee ID	Department:	Department
Email:	Email	Telephone:	Telephone

Referral Information

Candidate Name:	Candidate Name
Email:	Email
Telephone:	Telephone
Position Referred For:	Position
Why this candidate is qualified for this position:
Reason candidate is qualified for position

For Human Resources Use Only

Date Received:	Date	Interviewed?	Enter answer here
Hired?	Enter answer here	Award Date:	Date