Fill and Sign the Employee Statement Form

Employee Referral Award Program Employee Referral Statement Current Job Opening Position Title       Current Job Opening Cost Center       Division       Name of Referred Applicant       Applicant Phone #       Employee Making Referral       Employee Phone #       Employee SSN       HR Person Receiving Referral __________________________________________________ (Signature) Date Referral Received ______ Have you referred this candidate for previous job openings? YES NO If yes, for what job opening and which location?       For Human Resource Use Only Hire Date _________ 60-Day Completion Date _________ Title of Employee Making Referral _________ Point Level _________ Eligible employees who wish to refer qualified candidates must provide an Employee Referral Statement and a copy of the resume to their local Human Resources Department. The local Human Resources Department will forward the referral to the location in which the opening exists. If you are referring a candidate for an opening in multiple divisions, please submit a form and resume for each division. In cases where more than one referral is received for the same candidate, the employee who referred the candidate first, as indicated by the date the local HR Coordinator received the resume, will receive the award.