Referral Form  ·  Popular

Simplify Your Employee Referral Program Today

Capture referrer details, candidate information, and bonus tracking data with this all-in-one employee referral program form template.

Peach theme
formbuilder.ai/f/employee-referral-program-candidate-nomination-bonus-tracking-form
Employee Referral Program Candidate Nomination & Bonus Tracking Form
Your Full Name (Referring Employ
· · ·
Your Work Email Address
· · ·
Employee ID
· · ·
Submit

The Employee Referral Program Candidate Nomination & Bonus Tracking Form is a comprehensive solution designed to help HR teams manage their internal referral programs efficiently. It collects all essential information from referring employees—including their department, job title, and length of employment—alongside complete candidate details such as resume, LinkedIn profile, and position of interest.

This template is ideal for HR professionals, recruiters, and talent acquisition teams at organizations of any size looking to formalize and streamline their employee referral process. By consolidating nomination details and bonus tracking into a single form, it eliminates manual follow-ups and reduces administrative overhead.

With built-in fields for recommendation strength ratings, candidate relationship context, and consent acknowledgment, this form ensures transparency and accountability throughout the referral lifecycle. Start using this free template today to attract top talent through your most trusted source—your own employees.

3 Pages
23 Questions
~8min To complete
Free No credit card needed
Field types Short Text ×4 Dropdown ×3 Full Name ×2 Email ×2 Phone ×2 Single Choice ×2 Website URL Long Text File Upload Star Rating Yes / No singlecheckbox termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Referring Employee Details 7 questions
Referring Employee Details
1 Your Full Name (Referring Employee) * Full Name
2 Your Work Email Address * Email
3 Employee ID * Short Text
4 Department * Short Text
5 Your Contact Phone Number Phone
6 Your Job Title * Short Text
7 Length of Employment * Dropdown
Page 2 Candidate Nomination Details 10 questions
Referred Candidate Information
1 Candidate's Full Name * Full Name
2 Candidate's Email Address * Email
3 Candidate's Phone Number Phone
4 Candidate's LinkedIn Profile or Portfolio URL Website URL
5 Position Being Referred For * Dropdown
6 Specific Job Title / Requisition Number (if known) Short Text
7 How do you know this candidate? * Single Choice
8 Why do you recommend this candidate? (Skills, experience, cultural fit) * Long Text
9 Upload Candidate's Resume/CV * File Upload
10 Overall Candidate Recommendation Strength (1-5 stars) * Star Rating
Page 3 Referral Bonus & Acknowledgment 6 questions
Bonus Tracking & Consent
1 Referral Bonus Tier * Dropdown
2 Has this candidate previously applied to our company? * Single Choice
3 Have you previously referred this candidate? * Yes / No
By submitting this form, you confirm that the referred candidate is aware of and has consented to this nomination. Referral bonuses are subject to company policy, including the candidate's successful hire and completion of the probationary period. Duplicate referrals will be credited to the first referring employee on record.
4 I confirm that the candidate is aware of and has consented to this referral nomination * singlecheckbox
5 I have read and agree to the Employee Referral Program terms and bonus payout policy * termsandconditions
6 Referring Employee Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Peach" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Free to use on any plan, no credit card required

Use this template

Free to use. Open in the editor, customize, and publish in minutes.

Use This Template Free Preview the form
Category Recommendation & Referral
Subcategory Referral Form
Theme Peach
Badge Popular
Price Free
Coding required None

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