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Job Referral Form

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					Job Referral Form
This form can be used by an employee of a company to refer a candidate for an
opening job position. The referring employee can fill out their information and the
referred candidate’s information and give this form to the company’s management. In
addition, if the referred candidate is hired and employed for a certain length of time, the
referring employee can receive a bonus. This referral form is ideal for small businesses
that want to allow current employees to refer job candidates.
                                         JOB REFERRAL FORM

1.       REFERRING EMPLOYEE

Name

Email

Phone number

Position

Department


2.       REFERRED JOB CANDIDATE

Name

Email

Phone number

Relation

How long have you
known this candidate?
Position referred

Why is this candidate a
good fit for the
position?


3.       TERMS

       a.     In submitting this Job Referral Form, the Referring Employee certifies that the
information submitted herein is true and correct.

         b.       Notwithstanding anything to the contrary contained herein:

            i.       In the event that the Referred Job Candidate is hired by Company and
remains a full-time employee at Company for __________ (___) [Instructions: Insert the
minimum number of days the referred job candidate must be employed for the referring
employee to receive a bonus] days, the Referring Employee shall receive a referral bonus in the


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amount of ___________ Dollars ($_____) [Instruction: Insert the bonus amount] (the
“Referral Bonus”).

              ii.       Should the Referring Employee be involved in any hiring decisions with
respect to the position in question, the Referring Employee shall not receive any Referral Bonus;

            iii.    Should multiple Referring Employees refer the same Referred Job
Candidate, the employee that first submits the Job Referral Form shall receive the Referral
Bonus; and

            iv.      Should a Referring Employee refer a Referred Job Candidate that
currently works at Company, the Referring Employee shall not receive any Referral Bonus.

[Instructions: If the referring employee will not receive a bonus if the candidate is hired,
delete Subsection B above along with romanette i, ii, iii, and iv in its entirety]




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Description: This form can be used by an employee of a company to refer a candidate for an opening job position. The referring employee can fill out their information and the referred candidate’s information and give this form to the company’s management. In addition, if the referred candidate is hired and employed for a certain length of time, the referring employee can receive a bonus. This referral form is ideal for small businesses that want to allow current employees to refer job candidates.