Referring Employee Information * First Name Last Name Your Position * Your Phone Number * (###) ### #### Your Email Address * Candidate Information Candidate's Name * First Name Last Name Candidate's Phone * (###) ### #### Candidate's Email * Position Referred For (e.g., full-time caregiver, part-time caregiver, live-in caregiver) How do you know the candidate? Why Do You Recommend This Candidate? (Please share any details about their experience, skills, or qualities that make them a good fit for Clover Care Home Care.) Agreement By submitting this referral, I understand that: The candidate must successfully complete the probationary period for me to be eligible for the referral bonus. Only one referral bonus is awarded per candidate, and priority goes to the first referrer if multiple employees refer the same person. Clover Care Home Care reserves the right to modify or cancel the referral program at any time. Agree Thank you for your referral!!