Referrers Bonus Program Application Employee Name:(Required) First Last Office Location:(Required) Goldsboro Greenville Jacksonville New Bern Roanoke Rapids Rocky Mount Tarboro Wilson Client Assigned to:(Required) Phone(Required)Name of Candidate(Required) Phone(Required)Email(Required) Position Referred for(Required) Department(Required) Relationship to Employee (friend, family member, referred by 3rd party, or other):(Required) I have read and understand Holden Temporaries Employee Referral Policy. I understand that if the candidate I referred is hired as a result of my referral, I will receive a bonus after the date the referral completes 200 hours of employment with Holden Temporaries, Inc.Employee Signature(Required) Reset signature Signature locked. Reset to sign again Date(Required) Month Day Year