[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:	Date:
Employee ID:	Department:
E-Mail Address:	Phone No:

Referral Information

Candidate Name:
E-Mail Address:
Phone No:
Position Referred For:

Why this candidate is qualified for this position:

For Human Resources Use Only

Date Received:	Interviewed?
Hired?	Award Date: