Employee Referral

Employee Referral

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Candidate Information

Candidate Name

First Name *

Last Name *

Other Name

Position Referred for *

Department *

Facility *

Candidate's Phone Number *

Candidate's Email *

Employee Information

Employee Name

First Name *

Last Name *

Employee Facility *

Relationship to Referred Candidate *

Friend

Family Member

Other

Please specify

Candidate Resume

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.

I have read and understand the Lovelace Employee Referral Policy. I understand that if the candidate I referred is hired as a result of my referral, I will receive a referral bonus program guidelines.

Yes

I have read and understand the *

Leave this field blank

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