10.08.2020 Views

OLOL RN REFERRAL PROGRAM - Updated

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Team Member Referral Form

FMOL Team Member

EMP NAME

EMP ID

DEPARTMENT

EMAIL

TELEPHONE

DATE SUBMITTED

CANDIDATE

NAME

EMAIL

TELEPHONE

POSITION FOR

WHICH

CANDIDATE IS

REFERRED

REFERRAL GUIDELINES AND INSTRUCTIONS

Team Member may obtain the Referral Form from Human

Resources, their Manager or may download it from the

Policies section on the intranet site.

The referred team member must select “Current Employee”

from the drop down menu on their application and enter the

referring team member’s name and department. Team

member (TM) must be employed and in good standing.

Once the team member has completed the Referral Form,

they must email the form to dawn.moreau@fmolhs.org. HR will

send the TM an acknowledgement of receipt via e-mail.

Former team members who have worked at FMOLHS or

related health care organization in any capacity, including

PRN, within the past 6 months are ineligible to be considered

as a qualifying candidate for any referred incentives.

Contract and temporary team members are not eligible to

receive the incentive.

STATE YOUR BELIEF AS TO WHY THE REFERRED CANDIDATE IS BEST QUALIFIED FOR THE AVAILABLE POSITION:

HUMAN RESOURCES USE ONLY

DATE RECEIVED

New Hire - DATE OF

HIRE

New Hire - START DATE

NOTES:

LAWSON ENTRY

TA REP NAME

TA REP SIGNATURE

INCENTIVE

GUIDELINES

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