Employee Referral Form

Referral Guidelines

1. To refer a potential applicant, you need to complete this form. Send to leah@quikfillrx.com once done.
2. You are eligible for a referral award only when you refer external applicants.
3. All referral bonus payments will be paid to the employee after the applicant successfully completes 30 days
of employment.
4. Employees involved in the hiring decision for a particular position are not eligible for referral awards.
5. Only one referral will be allowed per employee. If you have more than 1, Please rank each applicants
in order of importance with #1 being the most qualified applicant and #3 being the least qualified applicant.
6. The referring employee must agree to have his or her name used when QuikfillRx contacts the applicant.

Employee Information
Chila Cutamora
Employee Name: _________________ chila@qrxdigital.com
Email address:____________________
CSR
Department: ______________________ chila.cutamora@gmail.com
Skype ID:________________________

Referral Information
April Rose Panis
Applicant Name: ______________________ April Rose Panis
Skype ID: ___________________________
april@qrxdigital.com
Email Address: ________________________ CSR
Position Referred for:___________________

Related Questions:

Why do you think he/she is the right person for this position?

She already has a call center experience - taking calls, responding to chats and emails.

What are the skills of the person you referred?

She has good communication skills. She can multitask and know how to deal w/ customers via different platforms.

What is your relationship to applicant?

Friend

For HR Use Only

Date Received: May 29, 2020 Interviewed by whom? Isabel and Chila
Hired? Yes Joining Date: June 8, 2020

Disclaimer: Providing a potential teammate referral doesn’t mean the person will get hired with QRx but
it is weighted highly in our final decision process. Review of referral application can take up to two weeks
depending on position we are seeking. If possible, please attach their resume along with the referral form
to expedite review.