Date: ___________
Employee name: _____________________________________________
Department: _____________________ Phone: _____________________
Candidate name: _____________________________________________
Phone: _______________________ Email: _______________________
Position referred for: __________________________________________
Department: _________________________________________________
Relationship to employee (friend, family member, referred by 3rd 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.
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