Employee Referral
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Your First & Last Name *
Your Email Address *
We will only contact you to thank you for your referral if they are hired, and to credit you for your 10 hours after 6 months.
Your Phone Number
In case we are unable to reach you via email to credit your 10 hours.
First & Last Name of Possible Employee *
How do you know this person? *
Why do you think this person would make a good employee for Hire A Housewife?
Not required
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