Referral Submission Form

Referral Submission Form

United Schools Associates – Candidate Referral Program Form for the CPS Open Enrollment 2026.
Thank you for referring a candidate to United Schools Associates (USA)! Please complete the form below with accurate information. All submissions will be reviewed by our Recruitment Team. Fields marked with an asterisk (*) are required.
Name of the Person You Are Referring To
Phone Number of the Referred Person
Email Address of the Referred Person
example@example.com
Does the referred person currently have an active Illinois (IL) Life & Health Insurance License?
Is the referred person bilingual?
If Yes, what language(s) does the referred person speak besides English?
Hint: If multiple languages, separate them with commas.
- Your Full Name
  
  First NameLast Name
- Your Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Are you currently employed as a Temporary Benefit Counselor with United Schools Associates?
- Why are you recommending this candidate?
  Please describe why you believe this person would be a great fit for United Schools Associates. Include any relevant experience, work ethic, communication skills, or qualifications you feel would make them successful in this role.
Should be Empty: