OLOL RN REFERRAL PROGRAM - Updated
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Team Member Referral Form
FMOL Team Member
EMP NAME
EMP ID
DEPARTMENT
TELEPHONE
DATE SUBMITTED
CANDIDATE
NAME
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