Fillable Printable Blank Employee Referral Form

Blank Employee Referral Form

Employee Referral Form

(Note: for Program Guidelines, see Employee Referral Program on the Americas Community under HR/Total Rewards)

Today’s Date: ____________________

Name of Candidate Referred: ________________________ Employee Name: ______________________

For the Position of: _____________________________________________________________________

My knowledge of this candidate:

_________Former work peer

_________Former manager of mine

_________Former subordinate of mine

_________Friend

_________Other (specify): ________________________________________________________________

My evaluation of this candidate: (rate from 1 to 5)

Low………………………………………………High

Experience 1 2 3 4 5

Job Related Skills 1 2 3 4 5

Initiative 1 2 3 4 5

Interpersonal Skills 1 2 3 4 5

Related Education 1 2 3 4 5

Comments:_____________________________________________________________________________

______________________________________________________________________________________

Submitted by: __________________________________________________________________________

Employee Name Department Location

Resume Attached: Yes________ No________

Note: Please return this form to: [email protected]

Human Resources Only

Date Received:________ Date of Hire:___________

Payment Date: ________ Payment Amount:_____