Teacher Candidate Referral Form

Employee Information (Referrer)
Please enter your information below.  Attach the candidate’s resume (optional) and submit this                    form to the Human Resources department.
			
First Name		Last Name	

Email		Phone Number	
Candidate Information (Referral)
Please enter the candidate’s information below. 

First Name		Last Name	

Relationship to Candidate (friend, family member, other)		   Referral Date	
			
Job Title 		 Job Requisition #	

Employee Acknowledgement:  I have read and understand the referral program rules and guidelines.
			
Employee’s Signature		Work Location/School	

Internal Use Only	
To:       Payroll
From:   Human Resources
Charge to FC#:__________________________________  Candidate’s Hire Date___/___/___
Stipend Payment #1:  Payable target date within the next two pay periods after 6 months of employment from date of hire.
Stipend Payment #2:  Payable target date by June 30.                         HR Initials __________	
		                           HRFRM-Apr2024