Bills for Skills : Make a Referral

All fields are required except where marked as optional(♦)
Employee Information
Your Employee ID
(what is this?)		     Confirm Employee ID   

Referral Information
Referral First Name  
Referral Last Name  
Referral Telephone   format: xxx-xxx-xxxx
Referral Email ♦ 
Bonus applies only to positions listed that result in regular hires (72 hours biweekly)
- relief and per diem excluded.
Referred Position  
Primary Job Number   View current Hot Job numbers here
Alternate Job Number ♦
Alternate Job Number ♦
Referral Notes  ♦
Resume
♦
♦= denotes optional field