Employee Referral Program/Form

EMPLOYEE REFERRAL FORM

#togetherwesmile
Riccobene Associates Family Dentistry is always looking for great talent that aligns with our company culture, and you can help. Research has shown, and our own experience supports, that new hires who come into a company through employee referrals are excellent contributors, stay with the company longer and are more cost-effective recruits.

That's where you come in! If you know someone who would be a good addition to you may be awarded a referral bonus based on refering a candidate and he or she is hired.

90-DAY SPECIAL - see updated payouts below to generate referrals!

Payout timeframe (subject to tax, withholdings):
- 1/3 Paid out immediately upon hire date
- 1/3 paid out 6 months of employment
- 1/3 paid out at 1 year of employment.
Employee must still be employeed at each checkpoint to get awared)
- Patient Coordinators: $500
- Collections/Insurance: $500
- Dental Assistant 1: $750
- Dental Assistant 2: $1500
- Dental Hygienists: $5500
- Asst. Office Manager: $500
- Office Manager: $1000
- Dentists: $7500
Employees must refer candidates to Human Resources through the employee referral program form below.

Program Rules
- Must meet our company culture #togetherwesmile (engaged and motivated to help co-workers and patients smile!)
- temporary, contract and former employees are not eligible candidates for referral
- Must attach copy of resume and complete the form
- The first employee to refer a candidate will be the only referring emloyee eligible for payment
- All candidates will be evaluated for employment consistent with our organization's policies, procedures, and all information regarding hiring decision will remain strictly confidential.
We are all vested in ensuring that we are hiring individuals that meet the core values:
1. Do the Right Thing
2. Professionalism
3. Hardworking
4. Good attitude
5. Team Player
6. Riccobene Way
Program Process
- Employee completes form
- form is submitted to Human Resources
- Human Resources or Office Manager phone screens candidate
- Candidate brough in for interview/working interview
- If hired, Employee is informed by Office Manager/Human Resources that they will be receiving bonus.
- HR will submit PAF through payroll system
Employee Information
Today's Date

MonthDayYear
Date
Name

First NameLast Name
Office Location
Office Location
Position
Email
example@example.com
Candidate's Information

Please provide as much detail regarding the candidate you are referring:
Position applying for:
Which office location(s) are they interested in? (If applicable)
This is to ensure the resume is sent to the right office managers
Name of Candidate

First NameLast Name
Position type (ex: full-time/part-time)
Is employee currently working?

YesNoOther
Please upload copy of resume

Browse Files

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Additional comments
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EMPLOYEE REFERRAL FORM

Employee Information

Candidate's Information