Employee Referral Form This form is to be used by Fisher employees to make a referral for a candidate applying for a housekeeping or grounds position. "*" indicates required fields Today's Date * RequiredMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your Name * Required First Last Fisher employees (except those at vice president level and above, Human Resources team members, and supervisors with direct hiring authority over the referred candidates) are eligible for the referral bonus program.Your Phone * RequiredYour Email Department * Required Name of Candidate * Required First Last An eligible candidate is someone who has already applied for a housekeeping or grounds position after the date of a job posting.Candidate Phone * RequiredCandidate Email * Required Position Referred For * Required Housekeeping Grounds The referral bonus applies to hired candidates for positions where we have significant hiring needs. At this time referral bonuses are only eligible for positions listed.Relationship to Candidate * Required (friend, family member, referred by 3rd party, or other)Consent * Required I have read and understand Fisher's Employee Referral Policy.I understand that if the candidate I referred is hired as a result of my referral, I will receive a payment within two weeks of the date the individual completes 90 days of employment. My name typed below serves as my electronic signature.Electronic Signature * Required First Last Δ