Employee Recruitment Referral Form Date Date Format: MM slash DD slash YYYY Referred Person (Potential Employee)Referred By Name First Middle Last Suffix Email for Referred Person (If you have it) Phone for Referred PersonSuggested Positions and other notes.Referred By (Employee)Referred Person's Name First Middle Last Suffix PhoneEmail Have you discussed the employment opportunity with the "Referred Person"? Yes No Has the "Referred Person" submitted a resume? Yes No I don't know. Does the "Preferred Person" wish to be contacted by Still Waters for potential employment? Yes No I don't know.