Employee Referral Form

“*” indicates required fields

I have read and understand the Company’s Employee Referral Policy. I understand that if the candidate I refer is hired as a result of my referral, I will receive my referral reward upon the successful completion of 180 days of Clow employment.

Name*

First

Last

Employee Number

Department

Name of Candidate*

First

Last

Relationship to Candidate

Referred to Department

Date/Time