Who do you Know?

Application Form - Referral Bonus Program

Part A

I am pleased to provide the following nominee information under the VON Canada Referral Bonus Program. I hereby confirm that the nominee is aware of and has given their approval for me to submit their name for consideration for a position within VON Canada.

VON Employee Information (making referral):

First Name *

Last Name *

Employee ID *

Position/Program/Site *

Phone Number(s) *

VON Email Address *

Candidate (referral) Information:

Has the referral candidate applied online already? *

Yes

First Name *

Last Name *

Position/Role (ex. RN) *

Program *

Home Address

Phone Number *

Email Address *

I am aware that a nominee must participate in VON Canada’s recruitment and selection process; thus there is no guarantee that they will be the successful candidate for a particular job opportunity. If my nominee is hired and meets the criteria of a “successful job candidate”, I will be eligible to receive a referral bonus as outlined in the Who Do You Know? Referral Bonus Program guidelines.

VON Employee Signature (making referral) *

clear

Today's Date

** TA Team will automatically recieve a copy of your form once submitted.