New Hire Employee Referral Questionnaire

Name

First NameLast Name

Employee ID

Department

Email

example@example.com

Phone Number

Please enter a valid phone number.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Current Position/Title (if applicable)

Current Company (if applicable)

Relationship to Referral Candidate

Reason for Referral

Rating satisfaction: Please use the rating scale below, 1 being the worst and 5 being the best.

Demonstrates effective written communication skills.

Demonstrates effective verbal communication skills.

Continues to seek professional growth opportunities.

Exhibits technical skills that would support applicable position.

Exhibits organizational skills that would support applicable position.

Utilizes time wisely on the job.

Works well with others in a team.

Uses professional judgement.

Takes pride and ownership in assigned duties/tasks.

Maintains regular attendance and is punctual.

Exhibits appropriate behavior towards co-workers

Is an effective problem solver.

Additional Comments or Notes

Referring Employee Information: