Temporary Referral Reward Form

Please fill out the form below to claim your referral bonus from Clarity!

Your Name (required)

Your Email (required)

Name of candidate you referred:

Please name assignments your referral has worked (as many as you can):

Company Name

Duration of Assignment:

Company Name

Duration of Assignment:

Company Name

Duration of Assignment:

Company Name

Duration of Assignment:

Company Name

Duration of Assignment:

What would you like us to do with your reward check?
 Mail Hold

If you would like your check mailed, please tell us where to:

Address #1:

Address #2:

City:

State:

Zip Code:

* Temporary and contract referrals will be paid after 160 hours have been worked. If Clarity does not receive payment from the client for the placement we are unable to pay rewards.