Candidate Referral Form Form Must Be Received by Human Resources Prior to Interview to be Eligible
(Please print) Date______________________
Name of Employee Making the Referral____________________________________________________
Position Held_____________________________Department__________________________________
Name of the Candidate Referral__________________________________________________________
Position Candidate is Applying For________________________________________________________
Relationship______________________________How Long Have You Known?_____________________
Comments____________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
I certify that I am not otherwise involved with the recruitment, rating, or selection of the referred candidate and that I am not related by blood or affinity whose close association with the candidate is the equivalent of a family relationship.
Signature of Employee Making the Referral/Date
I understand and agree that I have been referred for employment at the Village of Pinehurst. I further understand and agree that this does not constitute a promise that I will be hired.
Signature of Candidate Referral/Date
Human Resources Use Only Date Received in HR_______________________Date of Hire_________________ ___________ Information Verified During Interview ___Yes___No __________________________________ HR Signature _____________________ Amount Payable $___________________
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