Employee Referral Form

Name of Employee*

Date*

Department*

Manager*

Name of Person Referred*

Relationship with Referred* — Please choose an option —ColleagueFriendCo-WorkerOthers

Date Referral Made*

Referral for What Position*

Resume Attached?*— Please choose an option —YesNo

Complete Application Attached? *— Please choose an option —YesNo

Resume

Contact Information Referral

I believe the individual I am referring as a job candidate is qualified and interested in the position identified above. I understand that if this individual is hired as a result of this referral, I will be eligible  for a referral bonus that will be paid out only after the individual has worked the necessary period of  time specified for such referral bonus payments .