Employee Referral Form

Date: ___________ 

Employee name: _____________________________________________

Department: _____________________ Phone: _____________________

Candidate name: _____________________________________________

Phone: _______________________   Email: _______________________

Position referred for: __________________________________________

Department: _________________________________________________

Relationship to employee (friend, family member, referred by 3^rd party, or other):

___________________________________________________________

I have read and understand [Company Name]'s employee referral policy. I understand that if the candidate I referred is hired as a result of my referral, I will receive a bonus within two weeks of the date the individual completes six months of employment with [Company Name].

Employee signature: _________________________  Date: ____________

Attach the candidate's resume or completed employment application.