Employee Referral
This form is to be used by the Elysium staff member to refer someone suitable to work for us as a permanent member of staff for select roles only.
Your Name
*
First Name
Last Name
Your Job Title
*
Which Elysium site do you work at?
*
e.g. Arbury Court
Where You Work
Please Select
1a Upper Brighton Road
21b Upper Brighton Road
Aberbeeg
Adderley Green
Aderyn
Alexandra Gardens
All Saints Hospital
Ann House and Fairmead House
Arabella Drive
Arbury
Arbury Court
Badby Park
Ballington House
Bradfield House
Bradley Apartments
Bradley Woodlands
Braeburn House
Brierley Court
Brighton and Hove Clinic
Brighton Private Health
Bromley Road Hospital
Cefn Carnau
Chadwick Lodge
Chesterfield House
Chimneys
Clipstone House
Cotswold Spa
Crossley Manor
Dane House
Ewell Road
Fairmead House
Farmfield Hospital
Felbrigg House
Field House
Gateway Recovery Centre
Gregory House
Gresham House
Head Office
Healthlinc Apartments
Healthlinc Hospital
Holkham House
Hope House
Jubilee House
Lichfield Lane
Martham House
Nursery Road
Oaktree Manor
Park Road
Phoenix House
Pinhoe House
Potters Bar Clinic
Ranworth House
Rhodes Wood
Rosebank House
Springwood Lodge
St Marys Hospital
St Neots
Stanley House
Sturt House
The Avalon Centre
The Bridge
The Copse
The Farndon Unit
The Limes
The Spinney
Thornford Park
Three Valleys Hospital
Ty Grosvenor
Ty Gwyn Hall
Victoria Gardens
Walcott House
Wellesley Hospital
Woodhouse
Woodhouse Cottage
Woodlands
Your Elysium Email Address
example@example.com
Referring Role
*
Clinical/Forensic Psychologist - £1,500
Speech and Language Therapist - £1,500
Occupational Therapist - £1,500
Registered Nurse - £1,500 (certain sites only)
Healthcare Assistant/Support Worker - up to £500 (certain sites only)
Please Note: Referral fees are not available for any 'Assistant' level role for any profession. Referral fees for Nurses and HCAs are only available at select sites, which changes regularly. Please check with HR admin at the site you're referring to if they offer the fee. Referrals are welcome at sites that are not offering a fee, but you will not receive payment for it.
Referral Name
*
First Name
Last Name
Referral Email
*
example@example.com
Referral Phone Number
*
Is this person qualified and experienced to do the role you are referring them for?
*
Yes
No
Not sure
Please check with them first, and only refer people who are suitable and capable for the role.
Sorry, we cannot accept referrals for people who are not qualified or experienced.
We need the right people working for us to ensure we to provide the best possible care.
Role Referred For
*
e.g. Job title or Elysium website job link
Site(s) being referred to
*
e.g. Arbury Court
Their CV
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The referral payment will be paid in two stages, with tax and National Insurance deducted in the usual way. You will be paid half the referral payment when the person starts working for us, and the other half once they have successfully finished their probationary period (usually after three months). For full terms and conditions please view the Referral Policy available on Elysium Connect.
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