Employee Referral Template

53. Employee Referral Date ________________________ Name of Candidate Referred _____________________________________________________ For the Position of _____________________________________________________________ Department ___________________________________________________________________ My relationship and knowledge of this candidate is:  Former Work Peer  Former Supervisor  Former Subordinate  Friend  Other ____________________________________________________________________________ My evaluation of this candidate is: (5 equals highest) Experience

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Job-Related Skills

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Initiative

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Responsibility

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Related Education

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Interpersonal Skills

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Comments and Other Information: _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ Submitted by _________________________________________ Date ____________________

Please attach résumé.